This document discusses elements of motivational interventions and principles of motivational interviewing. It defines motivation as a dynamic state influenced by emotional, cognitive, social and environmental factors. The document outlines six characteristics of motivation and identifies the three critical elements of motivation as willingness, ability and readiness. It reviews five principles of motivational interviewing and five elements of motivational approaches, including the FRAMES model. Various activities and techniques for enhancing client motivation are provided, such as decisional balance exercises, developing discrepancies between goals and behavior, and maintaining personal contact.
Josué Guadarrama MA Presentation at 2016 Science of HOPE
Motivational Interviewing (MI) is a directive, client-centered counseling and/or communication style for eliciting behavior change by helping individuals to explore and resolve ambivalence, while minimizing resistance and maximizing intrinsic motivation. Compared with nondirective counseling, MI is more focused and goal-directed. Based on the physics of behavior change, participants will learn assessment and communication skills that foster sustained behavior change by tapping into intrinsic motivation. Aside from a didactic approach, there will be video examples and skill practice. Audience participation is highly encouraged.
This course provides training and CEUs for addicitons counselors and LPCs working in Addictions, Mental Health and Co-Occurring Disorders will help counselors, social workers, marriage and family therapists, alcohol and drug counselors and addictions professionals get continuing education and certification training to aid them in providing services guided by best practices. AllCEUs is approved by the california Association of Alcohol and Drug Abuse Counselors (CAADAC), NAADAC, the Association for Addictions Professionals, the Alcohol and Drug Abuse Counseling Board of Georgia (ADACB-GA), the National Board for Certified Counselors (NBCC) and most states.
Review of motivational interviewing techniques and strategies most useful at each phase of change. NBCC, NAADAC, CAADAC, and California Board of Behavioral Sciences approved Mental Health continuing education and addictions counselor training series. Narrated versions and CEUs available at http://www.allceus.com
Josué Guadarrama MA Presentation at 2016 Science of HOPE
Motivational Interviewing (MI) is a directive, client-centered counseling and/or communication style for eliciting behavior change by helping individuals to explore and resolve ambivalence, while minimizing resistance and maximizing intrinsic motivation. Compared with nondirective counseling, MI is more focused and goal-directed. Based on the physics of behavior change, participants will learn assessment and communication skills that foster sustained behavior change by tapping into intrinsic motivation. Aside from a didactic approach, there will be video examples and skill practice. Audience participation is highly encouraged.
This course provides training and CEUs for addicitons counselors and LPCs working in Addictions, Mental Health and Co-Occurring Disorders will help counselors, social workers, marriage and family therapists, alcohol and drug counselors and addictions professionals get continuing education and certification training to aid them in providing services guided by best practices. AllCEUs is approved by the california Association of Alcohol and Drug Abuse Counselors (CAADAC), NAADAC, the Association for Addictions Professionals, the Alcohol and Drug Abuse Counseling Board of Georgia (ADACB-GA), the National Board for Certified Counselors (NBCC) and most states.
Review of motivational interviewing techniques and strategies most useful at each phase of change. NBCC, NAADAC, CAADAC, and California Board of Behavioral Sciences approved Mental Health continuing education and addictions counselor training series. Narrated versions and CEUs available at http://www.allceus.com
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Most people do not enter into relationships with the intention of sabotaging it, yet that is exactly what ends up happening. In this presentation, we explore, in depth, certain behaviors that commonly sabotage relationships, how they are actually protective for the "saboteur" and what can be done to address them.
Presented during the Psychology Congress, Lyceum of the Philippines, Intramuros, Manila, Philippines, October 8, 2009.
Looking for customized in-house training sessions that fit your needs, particularly in the Philippines? Please send me an email at clarencegapostol@gmail.com or WhatsApp +971507678124. When your request is received I will follow up with you as soon as possible.Thank you!
Acceptance and Commitment Therapy for People with MSMS Trust
Dr Sarah Gillanders and Dr David Gillanders introduce acceptance and commitment therapy for people with MS, a form of cognitive behavioural therapy that focuses on how we live with difficult things. It blends behaviourism, mindfulness, values, compassion and perspective taking.
- A brief and concise report on Narrative Therapy which includes a brief introduction, therapeutic goals, therapeutic relationships, therapeutic techniques and procedures
- For USTGS 1st semester 2013-2014
Family genogram,family tree, disease pattern in family, diseases in a family throughout generations,family illness, roles of the family, family dynamics, role of father, Three Generational Genogram ,role of mother, my grand parents.
Sexual dysfunction is preventable, speak out. http://bit.ly/35XJE1o
Listen to the presentation for FREE on the Counselor Toolbox podcast or watch the video on our youtube channel https://youtube.com/allceuseducation.
Sign up for Counseling CEU webinars at https://www.allceus.com/live-interactive-webinars/
Objectives
Help clients identify 3 Steps to a Breakthrough
Helping clients decide to do the impossible
Tools to encourage clients to explore motivation: Why we do what we do
Identify techniques to help clients get unstuck
Help clients explore whether they use a Growth vs. Fixed Mindset
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Most people do not enter into relationships with the intention of sabotaging it, yet that is exactly what ends up happening. In this presentation, we explore, in depth, certain behaviors that commonly sabotage relationships, how they are actually protective for the "saboteur" and what can be done to address them.
Presented during the Psychology Congress, Lyceum of the Philippines, Intramuros, Manila, Philippines, October 8, 2009.
Looking for customized in-house training sessions that fit your needs, particularly in the Philippines? Please send me an email at clarencegapostol@gmail.com or WhatsApp +971507678124. When your request is received I will follow up with you as soon as possible.Thank you!
Acceptance and Commitment Therapy for People with MSMS Trust
Dr Sarah Gillanders and Dr David Gillanders introduce acceptance and commitment therapy for people with MS, a form of cognitive behavioural therapy that focuses on how we live with difficult things. It blends behaviourism, mindfulness, values, compassion and perspective taking.
- A brief and concise report on Narrative Therapy which includes a brief introduction, therapeutic goals, therapeutic relationships, therapeutic techniques and procedures
- For USTGS 1st semester 2013-2014
Family genogram,family tree, disease pattern in family, diseases in a family throughout generations,family illness, roles of the family, family dynamics, role of father, Three Generational Genogram ,role of mother, my grand parents.
Sexual dysfunction is preventable, speak out. http://bit.ly/35XJE1o
Listen to the presentation for FREE on the Counselor Toolbox podcast or watch the video on our youtube channel https://youtube.com/allceuseducation.
Sign up for Counseling CEU webinars at https://www.allceus.com/live-interactive-webinars/
Objectives
Help clients identify 3 Steps to a Breakthrough
Helping clients decide to do the impossible
Tools to encourage clients to explore motivation: Why we do what we do
Identify techniques to help clients get unstuck
Help clients explore whether they use a Growth vs. Fixed Mindset
Review:
Stages-of-Change Model
Goals of Brief Intervention
Components of Brief Interventions and Effective Brief Therapy
Essential Knowledge and Skills for Brief Interventions
When To Use Brief Therapy
Approaches to Brief Therapy
Components of Effective Brief Therapy
Cognitive Behavioral (CBT)
Cognitive Processing
Trauma Focused CBT
Brief Strategic/Interactional
Brief Humanistic/Existential
Brief Psychodynamic
Brief Family therapy
Time Limited Group Therapy
Part of a 12 part series of courses at AllCEUs.com resulting in the receipt of a certificate in eating disorders counseling. Addresses bulimia, binge eating, anorexia, obesity. Uses The Body Betrayed by Zerbe and Brief Therapy with Eating Disorders by McDonald in addition to Dr. Snipes clinical experiences.
Explore the 5 Main Influences in Clinical Supervision
Philosophical foundation
Descriptive dimensions
The supervisor’s stage of development
The supervisee’s stage of development
Contextual factors including personal characteristics and setting/environment
Listen to the presentation for FREE on the Counselor Toolbox podcast or watch the video on our youtube channel https://youtube.com/allceuseducation.
Sign up for Counseling CEU webinars at https://www.allceus.com/live-interactive-webinars/
~ Error 1: Doing Harm to the Counselor
~ Error 2: Failing to Observe
~ Error 3: Passive Supervision
~ Error 4: Failure to Focus on Reciprocal Effects
~ Error 5: Failure to Ask Socratic Questions
~ Error 6: Terminating supervision upon licensure
~ Error 7: Undisciplined
~ Error 8: Failure to Individualize Training Plans
~ Error 9: Failure to Set Boundaries
~ Error 10: Not Practicing What You Preach
~ Error 11: Failure to provide adequate support
~ Error 12: Blurring the line between supervision and counseling
Part of a 12 part series of courses resulting in the receipt of a certificate in eating disorders counseling. Addresses bulimia, binge eating, anorexia, obesity. Uses The Body Betrayed by Zerbe and Brief Therapy with Eating Disorders byMcDonald
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
Part of the Addiction counselor training curriculum
Based in Part on Brief Therapy with Eating Disorders by Barbara McFarland, and the Overcoming Disordered Eating Protocol by the Centre for Clinical Intervention
Shifting paradigms to one of resourcefulness vs. sickness
Identifying key interviewing questions to develop a strengths-based alliance
A direct link to the CEU course is https://www.allceus.com/member/cart/index/product/id/56/c/
Will be released as part of the Counselor Toolbox Podcast
The video for this presentation is available on our Youtube channel:
https://youtube.com/allceuseducation A continuing education course for this presentation can be found at https://www.allceus.com/member/cart/index/index?c=
This powerpoint is part of AllCEU's Addiction Counselor Training Series. Part of the screening process involves not only identifying a possible problem, but helping the patient to identify it as a problem that they are willing to work on. Part of this process of motivational enhancement includes helping patients see there is an issue, that it is controllable or able to be dealt with and how it will help them achieve their goals. This powerpoint links to protocols for helping train clinicians in Motivational Enhancement Therapy. Each week we provide 8 hours of face-to-face continuing education and precertification training to LPCs, LADCs, and those wishing to become addiction counselors. Many states allow precertification to be done via online learning as well. We are approved education providers by NAADAC #599 and NBCC #6261
Part of the Addiction Counselor Training Curriculum at AllCEUs Examines different approaches to treatment--medical, psychological, spiritual
Listen to the presentation for FREE on the Counselor Toolbox podcast or watch the video on our youtube channel https://youtube.com/allceuseducation.
Sign up for Counseling CEU webinars at https://www.allceus.com/live-interactive-webinars/
This was released as Episode 85 of Counselor Toolbox Podcast. You can find specific episodes and CEU courses based on the podcasts at https://allceus.com/counselortoolbox You can also subscribe on your favorite podcast app like Apple Podcasts, Google Play or Castbox.
Patient Focused Care for Medical Group Managersmjsumption
Presentation on patient-focused care for South Dakota Medical Group Managers Association.
Presents a customer service approach to understanding patients\' perceptions of their experiences with doctors and clinics.
NBCC, NAADAC, CAADAC, and California Board of Behavioral Sciences approved Mental Health continuing education and addictions counselor training series. Narrated versions and CEUs available at http://www.allceus.com
Practical hints and tips for assessing readiness to change - Dr Bronwen BonfieldMS Trust
Aims:
To have increased awareness of the factors that affect an individuals readiness to change.
To explore the theoretical models that underpin change behaviour
To develop awareness of skills and strategies to support individuals and their families.
Similar to 5 elements of motivational interventions & 5 principles of motivational interviewing with Dr. Dawn-Elise Snipes (20)
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week in the form of live webinars (https://allceus.com/webinar ) and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week in the form of live webinars (https://allceus.com/webinar ) and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week in the form of live webinars (https://allceus.com/webinar ) and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week in the form of live webinars (https://allceus.com/webinar ) and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week in the form of live webinars (https://allceus.com/webinar ) and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Counselor Toolbox Podcast with Dr. Dawn-Elise Snipes produces 2 episodes each week and offers CEUs based on the podcast at AllCEUs.com/counselortoolbox
Infographic is based on Counselor Toolbox Podcast which can be subscribed to on any podcast player like Apple Podcasts, Castbox or Google Play. Counseling and Social Work CEUs are available on this topic at AllCEUs.com
Infographic is based on Counselor Toolbox Podcast which can be subscribed to on any podcast player like Apple Podcasts, Castbox or Google Play. Counseling and Social Work CEUs are available on this topic at AllCEUs.com
Infographic is based on Counselor Toolbox Podcast which can be subscribed to on any podcast player like Apple Podcasts, Castbox or Google Play. Counseling and Social Work CEUs are available on this topic at AllCEUs.com
More from Dr. DawnElise Snipes ★AllCEUs★ Unlimited Counselor Training (20)
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Welcome to Secret Tantric, London’s finest VIP Massage agency. Since we first opened our doors, we have provided the ultimate erotic massage experience to innumerable clients, each one searching for the very best sensual massage in London. We come by this reputation honestly with a dynamic team of the city’s most beautiful masseuses.
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
5 elements of motivational interventions & 5 principles of motivational interviewing with Dr. Dawn-Elise Snipes
1. Elements of Motivational
Interventions & Principles of
Motivational Interviewing
Instructor: Dr. Dawn-Elise Snipes, PhD
Executive Director: AllCEUs.com, Counselor Education and Training
Podcast Host: Counselor Toolbox & Happiness Isn’t Brain Surgery
AllCEUs Unlimited CEUs $59 | Webinars $3 | Addiction Counselor Certification Training $149 1
2. Objectives
Learn how motivation is dynamic
Explore reasons and methods for enhancing motivation
Identify 3 critical elements of motivation
Delineate the 5 elements of motivational approaches
Review the FRAMES model
Identify ways to deal with resistance
Review how to use decisional balance exercises
AllCEUs Unlimited CEUs $59 | Webinars $3 | Addiction Counselor Certification Training $149 2
3. Why Enhance Motivation?
Inspiring change
Preparing clients to enter treatment
Engaging and retaining clients in treatment
Increasing participation and involvement
Improving treatment outcomes
Encouraging a rapid return to treatment if symptoms recur
Creates a therapeutic partnership
AllCEUs Unlimited CEUs $59 | Webinars $3 | Addiction Counselor Certification Training $149 3
4. 6 Characteristics of Motivation
Motivation is positive and a key to change
Motivation “harnesses” energy to use to accomplish a task
What happens when you are not motivated– To clean, exercise, work
AllCEUs Unlimited CEUs $59 | Webinars $3 | Addiction Counselor Certification Training $149
4
5. 6 Characteristics of Motivation
Motivation is multidimensional
1. Emotional
2. Mental
3. Physical
4. Social Support and Pressures
5. Legal
6. Financial
Cube activity
#1
On a large box identify all the reasons to NOT change on each face
Can include drawbacks to change and benefits to staying the same
Discuss ways to eliminate those drawbacks
#2
Get small-ish square boxes for clients to decorate
On each face of the cube, have them identify motivations for change
AllCEUs Unlimited CEUs $59 | Webinars $3 | Addiction Counselor Certification Training $149
5
6. 6 Characteristics of Motivation
Motivation is multidimensional
Scale Activity
Get at least 10-20 regular marbles and 10 shooter marbles (bigger)
Get (or fashion a scale) One side is labeled “change” the other side is
labeled “same”
Write on the white board 2 columns
Benefits to Staying the Same (and drawbacks to change)
Benefits to Change (and drawbacks to staying the same)
Have clients complete each list
Then talk about how some “reasons” carry more weight.
Bring out the scale and stones.
Have clients assign a “weight” to each reason and deposit it in the
appropriate side
Goal is to see that it is about the total weight that tips the balance
AllCEUs Unlimited CEUs $59 | Webinars $3 | Addiction Counselor Certification Training $149
6
7. 6 Characteristics
Motivation is dynamic and fluctuating
Is a dynamic state that can fluctuate over time and in relation to
different situations rather than a static personal attribute
Can vacillate between conflicting objectives
Differs between objectives
Varies in intensity, faltering in response to doubts and increasing as
doubts are resolved and goals are envisioned more clearly.
Example: Getting Healthy
Nutrition
Exercise
Sleep
What conditions would make you motivated and what conditions would
undermine your motivation?
AllCEUs Unlimited CEUs $59 | Webinars $3 | Addiction Counselor Certification Training $149
7
8. 6 Characteristics
Motivation is dynamic and fluctuating
SMART Goals increase efficacy
Specific
Measurable
Achievable
Relevant
Time Limited
Examples
Get healthy to reduce my risk of cancer
Lose weight to get my partner to pay attention to me
AllCEUs Unlimited CEUs $59 | Webinars $3 | Addiction Counselor Certification Training $149
8
9. Goal Setting Activities
Out of the Hat
Write goals on strips of paper and put them in a hat or box
Have clients draw a strip and restate the goal in specific,
measurable, Achievable, Relevant and Time limited terms
The strip might say: Lose Weight
The client might say: Lose 10 pounds in 2 months so I am more
comfortable in my clothes
The strip might say: Not be depressed
The client might say: Increase my overall happiness to a rating of 4
out of 5 at least 5 days per week in the next 8 weeks.
The strip might say: Improve my relationship
The client might say: Reduce arguments with my partner to less than
2 per week and spend at least 1 day per week together doing
something enjoyable.
AllCEUs Unlimited CEUs $59 | Webinars $3 | Addiction Counselor Certification Training $149 9
10. 6 Characteristics
Motivation can be modified/changed
Social Influences (Media, friends, who you are doing it for)
Emotional
Mental
Physical
Legal
Financial
Environmental Pressures (nonsmoking buildings, custody)
Distress Levels (Raising the bottom)
Critical Life Events (loved one dying of cancer)
Activity
Use the same goals as in the Goal Setting Exercise to identify ways
to increase motivation (Weight loss, depression…)
AllCEUs Unlimited CEUs $59 | Webinars $3 | Addiction Counselor Certification Training $149 10
11. 6 Characteristics
Motivation is influenced by clinician’s (and client’s) style
Nonpossessive warmth & friendliness
Genuineness
Respect
Validation
Empathy
Talk about the successes as well as the challenges
Motivation is purposeful and intentional
AllCEUs Unlimited CEUs $59 | Webinars $3 | Addiction Counselor Certification Training $149 11
12. Help Increase Motivation
Counselor Techniques OARS
Open ended questions
Respect the client's autonomy
Affirm their ability to succeed
Recognize co-occurring disorders, acknowledge difficulties
Employ client centered treatment
Reflective listening
Using empathy more than authority. Validate client experience
Summarize
Focus on client strengths, successes and personal power
AllCEUs Unlimited CEUs $59 | Webinars $3 | Addiction Counselor Certification Training $149 12
13. CRAVE Check In
Compassion—I am human. I am here.
Report how the week went
Acknowledge difficulties
Validate
Explain how they used their strengths and personal power
to create successes (even if it is just to try again the next
day)
AllCEUs Unlimited CEUs $59 | Webinars $3 | Addiction Counselor Certification Training $149 13
14. Critical Elements of Motivation (WAR)
Willingness involves the importance a person places on
changing—how much a change is wanted or desired.
Activity: Yes, but….
Write a goal on the board and have clients think of as many yes, buts for
getting started on that goal as possible. When you are finished, discuss
ways to deal with those objections.
Ability refers to the extent to which the person has the
necessary skills, resources, and confidence to carry out a
change.
Activity: Review the SMART goals the group created (or start with
new ones). Discuss what skills and resources a person needs to
accomplish the goal and how to acquire those.
Readiness represents a final step in which the person
decides to change a particular behavior.
AllCEUs Unlimited CEUs $59 | Webinars $3 | Addiction Counselor Certification Training $149 14
15. 5 Principles of Motivational Interviewing
Express empathy through reflective listening.
Develop discrepancy between clients' goals or values and
their current behavior.
Avoid argument and direct confrontation.
Adjust to client resistance rather than opposing it directly.
Support self-efficacy and optimism.
AllCEUs Unlimited CEUs $59 | Webinars $3 | Addiction Counselor Certification Training $149 15
16. Elements Of Current Motivational
Approaches
The FRAMES approach
Decisional balance exercises
Discrepancies between personal goals and current
behavior
Flexible pacing
Personal contact with clients in treatment
AllCEUs Unlimited CEUs $59 | Webinars $3 | Addiction Counselor Certification Training $149 16
17. Help Increase Motivation
Help clients
Develop discrepancy between their goals and actions
Address the drawbacks to change
Address the benefits to staying the same
Feel competent to change
Developing a plan for change
Begin to take action
Continue to use strategies that discourage a return to the old
behavior
AllCEUs Unlimited CEUs $59 | Webinars $3 | Addiction Counselor Certification Training $149 17
18. A Note About Resistance
Resistance and yes, buts are signs that what you are asking
is
Too threatening
Not sufficiently rewarding
Already known to fail
Activity: Have clients identify activities that they resist doing.
Dieting, ending a relationship, medication, entering treatment
AllCEUs Unlimited CEUs $59 | Webinars $3 | Addiction Counselor Certification Training $149 18
19. FRAMES
Feedback regarding personal risk or impairment
Responsibility for change is placed squarely and explicitly
on the client
Advice is clearly given to the client by the clinician in a
nonjudgmental manner.
Menus of self-directed change options and treatment
alternatives are offered to the client.
Empathic counseling
Self-efficacy is engendered in the client to encourage
change.
AllCEUs Unlimited CEUs $59 | Webinars $3 | Addiction Counselor Certification Training $149 19
20. Feedback
Feedback should help a client
Understand the information
Interpret the meaning
Gain a new perspective about the personal impact of the behavior
Consider changing.
Recognize a discrepancy or gap between future goals and current
behavior.
AllCEUs Unlimited CEUs $59 | Webinars $3 | Addiction Counselor Certification Training $149 20
21. Responsibility
Give individuals the responsibility and opportunity to
decide when and whether they will change their behavior
Encourage clients to choose their treatment and be
responsible for changing
Do not impose views or goals on clients.
When clients are free to choose whether to change, they
Feel less need to resist or dismiss the clinician’s ideas
Feel empowered and more invested in treatment
May be more willing to negotiate common treatment goals with the
clinician.
AllCEUs Unlimited CEUs $59 | Webinars $3 | Addiction Counselor Certification Training $149 21
22. Advice
The most appropriate time to give advice is when a client
requests it.
As with feedback, the manner in which the clinician
advises clients determines how the advice will be used.
Suggesting yields better results than telling clients what
they should do.
If a client requests direction, the clinician can—
First clarify what the client wants
Give simple advice that is matched to the client’s level of
understanding and readiness, the urgency of the situation, and the
client’s culture.
AllCEUs Unlimited CEUs $59 | Webinars $3 | Addiction Counselor Certification Training $149
22
23. Menu of Options
When clients make independent decisions, they are likely
to commit to them.
Offering a menu of options decreases dropout rates and
resistance to treatment and increases overall treatment
effectiveness.
Provide accurate information about each option and a best
guess about the implications of choosing one particular
path
Elicit from clients what clients think would be effective or
what has worked for them in the past
Reinforce clients’ ability to make informed choices.
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24. Empathy
Empathic counseling can be particularly effective with
clients who are angry, resistant, or defensive.
Explore the reasons why the client might be angry, afraid or
resistant
Allow the client to do most of the talking in a safe
environment
Allow the client’s change process to unfold, rather than
directing or interrupting it
Communicates respect for and acceptance of clients and
their feelings
Encourages a nonjudgmental, collaborative relationship
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25. Self-Efficacy
Clients must—
Believe they are capable of undertaking specific tasks
Have the skills and confidence needed to change.
Clinicians help clients develop self-efficacy by—
Reinforcing clients’ beliefs in their capacities and capabilities
Believing in clients’ ability to change
Helping clients identify how they have coped successfully with
problems in the past and build on those successes
Reinforcing small steps and positive changes
Foster hope and optimism in clients
Reframing past “failures” as partial successes
Using questions beginning with “What else”
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25
26. Failure Activity
Failure is virtually inevitable sometimes.
Look up quotes about failure.
Create a Failure Flag
On each stripe write a sentence that gives meaning to failure…
Failure means…
Discuss how this applies to
prior failures
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I took a risk
I learned what not to do
I got outside my comfort zone
I grew as a person
26
27. Flexible Pacing and Personal Contact
Pacing
Meet clients at their levels
Use as much time as necessary with the essential tasks of each stage
of change.
Personal Contact: letters or telephone calls
Effective for encouraging clients to—
Return for another clinical consultation
Return to treatment following a missed appointment
Stay involved in treatment
Adhere to a plan for change.
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28. Personal Contact Activity
Write letters to themselves
To remind them to reflect on how far they have come
To reflect on what they have learned (from themselves of each
other)
To encourage them to keep going
To remind them of all the reasons they wanted to make the change
To congratulate them on progress
This can also be done as a group activity in which group members
write letters to each other
Old fashioned mail is often better for this because it is more
personal and the letters can be decorated.
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29. Summary
Motivation is dynamic, influenced by multiple types of
motivation including emotional, cognitive, social, environmental
Motivational Interviewing increases client’s hope and enhances
treatment participation
3 critical elements of motivation: Ability, willingness and
readiness
5 elements of motivational approaches
The FRAMES approach
Decisional balance exercises
Discrepancies between personal goals and current behavior
Flexible pacing
Personal contact with clients in treatment
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Editor's Notes
A belief inherent in the view of motivation as dynamic is that—
The client ultimately is responsible for change.
This responsibility is shared with the clinician through a therapeutic partnership
the concept of the clinician “healing” the client is not part of motivational enhancement approaches.
motivational enhancement approaches view motivation as dynamic
rather than static and as something that is—
n Purposeful;
n Intentional;
n Positive; and
n Changeable.
motivational enhancement approaches view motivation as dynamic
rather than static and as something that is—
n Purposeful;
n Intentional;
n Positive; and
n Changeable.
motivational enhancement approaches view motivation as dynamic
rather than static and as something that is—
n Purposeful;
n Intentional;
n Positive; and
n Changeable.
motivational enhancement approaches view motivation as dynamic
rather than static and as something that is—
n Purposeful;
n Intentional;
n Positive; and
n Changeable.
motivational enhancement approaches view motivation as dynamic
rather than static and as something that is—
n Purposeful;
n Intentional;
n Positive; and
n Changeable.
motivational enhancement approaches view motivation as dynamic
rather than static and as something that is—
n Purposeful;
n Intentional;
n Positive; and
n Changeable.
motivational enhancement approaches view motivation as dynamic
rather than static and as something that is—
n Purposeful;
n Intentional;
n Positive; and
n Changeable.
Affirming clients—
Supports and promotes their sense of self-efficacy;
Acknowledges their difficulties;
Validates their experiences and feelings; and
Increases their confidence to take action and change their behavior.
Emphasizing experiences that demonstrate strength, success, or power prevents discouragement.
For some clients, affirming their inner guiding spirit and their faith helps resolve their ambivalence.
Examples of affirming statements from the list below:
I appreciate how hard it must have been for you to decide to come here. You took a big step.
I think it’s great that you want to do something about this problem.
That must have been very difficult for you.
You’re certainly a resourceful person to have been able to live with the problem this long and not fall apart.
It must be difficult for you to accept a day-to-day life so full of stress. If I were in your position, I also would find that difficult.
Note that reflective listening—
Keeps coming up because it is a critical skill in motivational approaches; and
Is particularly necessary in the early stages of counseling.
Reflective listening involves the counselor’s—
Making a reasonable guess about what the client means; and
Rephrasing the client’s statement to reflect what the counselor thinks he or she heard.
Explain that reflective listening—
Provides clients a different way of considering what they have said;
Reduces the likelihood of resistance;
Encourages the clients to talk;
Communicates respect;
Cements the therapeutic alliance;
Clarifies exactly what clients mean; and
Reinforces motivation.
True reflective listening requires—
Continuous tracking of the client’s verbal and nonverbal responses and their possible meanings;
Understanding of the communication style of the client’s culture;
Formulation of reflections at the appropriate level of complexity; and
Ongoing adjustment of the clinician’s hypotheses about the client’s behavior.
Summarize
Note that most clinicians find it useful to summarize occasionally what has occurred
in a counseling session.
Explain that summarizing consists of—
Distilling the essence of what clients have expressed; and
Communicating it back to them.
Note that summaries help clients by—
Reinforcing what they said;
Demonstrating that the clinician has been listening carefully;
Helping clients consider their responses and experiences; and
Preparing clients to move forward.
A summary that links the client’s positive and negative feelings about substance
use can promote an understanding of ambivalence and the recognition of
discrepancy.
Summarizing is a good way to review previous sessions and to end a current
counseling session and provides a natural bridge when the client transitions
between stages of change.
The clinician should encourage the client to correct summaries.
Emphasize that summarizing serves a strategic purpose; in presenting a summary,
the clinician selects what information to include and what to minimize or leave out.
Affirming clients—
Supports and promotes their sense of self-efficacy;
Acknowledges their difficulties;
Validates their experiences and feelings; and
Increases their confidence to take action and change their behavior.
Emphasizing experiences that demonstrate strength, success, or power prevents discouragement.
For some clients, affirming their inner guiding spirit and their faith helps resolve their ambivalence.
Examples of affirming statements from the list below:
I appreciate how hard it must have been for you to decide to come here. You took a big step.
I think it’s great that you want to do something about this problem.
That must have been very difficult for you.
You’re certainly a resourceful person to have been able to live with the problem this long and not fall apart.
It must be difficult for you to accept a day-to-day life so full of stress. If I were in your position, I also would find that difficult.
Note that reflective listening—
Keeps coming up because it is a critical skill in motivational approaches; and
Is particularly necessary in the early stages of counseling.
Reflective listening involves the counselor’s—
Making a reasonable guess about what the client means; and
Rephrasing the client’s statement to reflect what the counselor thinks he or she heard.
Explain that reflective listening—
Provides clients a different way of considering what they have said;
Reduces the likelihood of resistance;
Encourages the clients to talk;
Communicates respect;
Cements the therapeutic alliance;
Clarifies exactly what clients mean; and
Reinforces motivation.
True reflective listening requires—
Continuous tracking of the client’s verbal and nonverbal responses and their possible meanings;
Understanding of the communication style of the client’s culture;
Formulation of reflections at the appropriate level of complexity; and
Ongoing adjustment of the clinician’s hypotheses about the client’s behavior.
Summarize
Note that most clinicians find it useful to summarize occasionally what has occurred
in a counseling session.
Explain that summarizing consists of—
Distilling the essence of what clients have expressed; and
Communicating it back to them.
Note that summaries help clients by—
Reinforcing what they said;
Demonstrating that the clinician has been listening carefully;
Helping clients consider their responses and experiences; and
Preparing clients to move forward.
A summary that links the client’s positive and negative feelings about substance
use can promote an understanding of ambivalence and the recognition of
discrepancy.
Summarizing is a good way to review previous sessions and to end a current
counseling session and provides a natural bridge when the client transitions
between stages of change.
The clinician should encourage the client to correct summaries.
Emphasize that summarizing serves a strategic purpose; in presenting a summary,
the clinician selects what information to include and what to minimize or leave out.