The spirit of motivational interviewing motivational interviewing is underpinned by a series of principles Motivational Interviewing The tasks of MI are to— Engage, through having sensitive conversations with patients. Motivational Interviewing Core Skills “Enhancing intrinsic motivation to change by exploring and resolving ambivalence.” (Miller and Rollnick, 2002) Demonstrating MI “Spirit” (encourages ownership, enhances self-efficacy, assumes competency) Respect Autonomy vs. exert authority Collaborate vs. confront Evoke vs. educate endobj Describe and define motivational interviewing and compare and contrast it to other counseling techniques; 2. �f_>����K����yo��xb�+��q�V-c�ɘq�緗� �=Wˇ_L;ӧ����qC����/�$P����$�� ̽D"�����+�? Negotiate plans. Stages of Change & Motivational Interviewing Welcome to Recovery U Module 3: Stages of Change and Motivational Interviewing. "����0�,�f���s`�; ��D�I�d��� R0H����� h�~�-�4$�30� ` �2A Motivational interviewing typically achieves its effects in one to four sessions Motivational interviewing appears to require a “minimum dose” of about 20 minutes. endobj Signs of Resistance. !This!document!is!not!tobe!copied!or! Miller. %%EOF Techniques such as reflective listening, summarizing a conversation, and weighing costs and benefits, are utilized in MI, as communication styles supporting the patient’s hopes, optimism, and self-efficacy. Motivational Interviewing Tips Sheet . Motivational)Techniques)and)Skills)) ) 2)! Avoiding Argumentation—avoid trying to convince the student that a problem exists or change is needed because it could cause more resistance. 2. While you are an expert in health care, your client is an expert in his or her own life. ��\�b��3�@��A7��hEK=o�N��pH�`q��V�d����h���Rl@� ���(l� �$�� - �B`�- 6s�$�~&o&G�k����4�u�K�a�)�*z�j�+�vY&�u W� alkingT over . We feel that MI may offer some useful resources for busy CF clinicians. About the authors Motivational Interviewing (MI) is a therapeutic strategy for facilitating behaviour change. stream The letters stand for: %���� <> R*�S�� ���� 7�(�Zx��M�e��=狂>����pszʲj]�.o8ŃJ�I��FV$�FNP��IVa��Z̊��M�36/^����;v9���m� ��s�Ӝmź� Definition of Motivational Interviewing “Motivational interviewing is a client-centered, directive method for Motivational Interviewing: Tools and Techniques 3. Motivational Interviewing tools and techniques provide structured and efficient ways to help patients develop internal motivation to change. h�b```f``2f`a``�dd@ A�+s\ ���k����p~B� In 1991 Richard Miller and Steve Rollnick created a more detailed concept of Understand the conditions under which most clients are willing to attempt behavioral change (the change trifecta: importance, confidence, readiness); 3. "�A$��*? Sobell!and!Sobell!©2013.!Availableonlineat!http://www.nova.edu/gsc/online_files.html. %PDF-1.6 %���� Motivating often means resolving conflicting and ambivalent feelings and thoughts Cutting off Ignoring. 3 0 obj Clients are more likely to discuss changing when asked, than when being lectured or … Credibility - staff confidence in underlying assumptions, techniques and evidence Multifaceted - inclusion of a variet y of interventions and formats suited to the variety of Motivational Interviewing (MI) MI was conceptualized by Richard Miller in 1983 from his work with problem drinkers. Describe the spirit of MI. Goal of Motivational Interviewing: The goal of Motivational Interviewing is to get individuals to resolve their ambivalence about changing their behavior, without evoking resistance to change. 1. It is one of the features that 4 davidmeelee.com • Progressively negotiate the quality of the relationship as an important and urgent challenge – You can anticipate that your initial assessment of the client’s relational capacities, style, preferences and Examples of Asking Permission • “Do you mind if we talk about [insert behavior]?” CORE CONCEPTS IN MOTIVATIONAL INTERVIEWING Summary of Motivational Interviewing* Motivational Interviewing (MI) was developed by William R. Miller and Stephen Rollnick, and is defined as a collaborative, person-centered directive counseling method for addressing the common problem of ambivalence about behavior change. Also, clients are more likely to discuss changing when asked, than when being lectured or being told to change. > Professional > Techniques > Motivational Interviewing Motivational Interviewing (MI) It is defined as a “collaborative, goal-oriented type of communication with particular attention to the language or change” and “is designed to strengthen personal motivation for change” (Miller & … More sessions have been associated with greater efficacy 31 Rubak S, Sandbaek A, Lauritzen T, Christensen B. Motivational interviewing: A systematic review and meta-analysis. 5. 84 0 obj <>stream Motivational Interviewing basics The underlying “spirit” (or philosophy) of MI is even more important than the skills. 1. View BPK 340 Lecture 7_Counselling and Motivational Interviewing (1).pdf from BIOL 354 at University of British Columbia. endobj ` ;B� Motivational Interviewing in Health Care: Helping Patients Change Behavior by William Miller, Stephen Rollnick, & Christopher Butler Motivational Interviewing in the Treatment of Psychological Problems by William Miller, Stephen Rollnick, Hal Arkowitz, & Henny Westra Motivational Interviewing, Third Edition: Helping People for Change W. R. and Rollnick, S. 2013. Screening and Assessment 4. pg. Motivational Interviewing 101: The Basics on Engaging People into Treatment David Mee-Lee, M.D. Brief Intervention Modules 1 and 2 focus on Motivational Interviewing which is a key element of brief interventions for substance misuse. This approach has built up a solid evidence base for effectiveness, and has been applied to a variety of people with different problems, including adherence. 4. òe��%}p�q�r7��Hq�+��C�ͽ�f岐`Bਸ�W�+�.��y�*����7�*_Og��Η��l��,���E�P�!��C��g�P?����Y]�n�a����Rx��6�c�:� .RjZ���p7���*����|H�^��|i�+�h��n$ ����뛗� �M�4s�z���5>�Id%-�ԏ�C̼�������d���v��|0���}4AN����ǚ_="b� � H�&�P��w�EEhC�-��Sd�f[O��M�ڨ`����C ADefinition"of"Motivational"Interviewing" The!definition!of!Motivational!Interviewing!(MI)!has!evolved!and!been!refined!since!the!original! mi_rationale_techniques.pdf Page 1 of 2 Motivational Interviewing Strategies and Techniques: Rationales and Examples ASKING PERMISSION Rationale: Communicates respect for clients. Motivational Interviewing is an integral part of SBIRT, and its principles can also be applied to other therapeutic interactions revolving around behavior change. Motivational interviewing: Philosophy and Principles 2. Information about requirements and processes for certification and recertification in general pediatrics and pediatric subspecialties. 3. Strategies of Motivational Interviewing – OARS Strategies Description Examples Open-Ended Questions Elicits descriptive information “tell me about” or “describe.”Requires more of a response than a simple yes or no Encourages student to do most … The Manual TENANTS OF MOTIVATIONAL INTERVIEWING Expressing Empathy—seeing the world from the student’s perspective and sharing in their experiences to ensure the student feels heard and understood. It is designed to strengthen Identify MI techniques to help patients change. h�bbd```b``z Preparing People to Change Health Behaviors. 6ɟ/���c9;/�H Describe elements of the provider style that precontemplative or highly ambivalent Focus on what’s important to the patient regarding behavior, health, and welfare. Examples Last week you were not sure you could go one day without a cigarette, how endstream endobj 49 0 obj <> endobj 50 0 obj <> endobj 51 0 obj <>stream �������ޞX�߁�A��Brk����T�6�U��o�qд2����h�!4-��)U�i���I6D���O��*F��x~�����j9@b?���Lk����'H�����(��t�dV�*�z�Zt9 �f�ڔ�^jm�Z!����}d���sֽ>g��9;������lS����\�#h��&�[�x�#q��䪃`�UQS��m���*��+�TQnu�۫����הmr. We feel that MI may offer some useful resources for busy CF clinicians. OARS in Motivational Interviewing William R. Miller, Ph.D. “OARS” is an acronym to help you remember four basic counseling skills that are used in the engaging process, and indeed throughout the processes of motivational interviewing (Miller & Rollnick, 2013). Evoke the patient’s personal motivation for change. 4 0 obj Define motivational interviewing (MI). BPK 340 Module 7: Counselling and Motivational Interviewing … <>>> These are considered the four core skills (Miller & Rollnick, 2013). 54. “Motivational Interviewing is a directive, client-centered counseling style for eliciting behavior ... techniques (Readiness to Change Ruler, Importance and Confidence related to goal choice). Define the principles of MI. Motivational Interviewing techniques used in the pre-contemplation stage intervene in the client’s beliefs about the importance of change and may also be used to increase self-efficacy about the ability to make the desired changes. About the authors x��}ˮl�n]� ���F]��ᆯ# I��l��`� N��Lr�A��Au�^�TsJ$E�����y�������������^�}��¥Wz��r)i�fI����������y�����?�s�����������ȩ}��׿������o���O}��7e�)��kY�_�����?1߫aP��������e�ǻٯ�{wo�án?����i�s�� �{donӡ�ε=P}����^\�k{�?���:P~���@x[���wx��߳�g"o~~����]͡�4����`�ܚ�]��6��D�@��D�4{�C�,�(>�ݼu���������O~FZ�9��cJ��M����?��!8g�cƘ�;[G������N�)�0"F=S������-0 ��. Purpose: In 2015, the “Motivational Interviewing Implementation and Practice Manual” became available to all juvenile probation departments as a resource of steps, materials, strategies, and protocols to guide departments in the training and implementation of motivational interviewing practices. 1 0 obj By the end of this Learning Module, you will be able to describe the stages of change, delineate some of the principles of motivational interviewing or MI, summarize evidence of its Motivational Interviewing Strategies and Techniques: Rationales and Examples ASKING PERMISSION Rationale: Communicates respect for clients. The following materials supplement formal MI training, but cannot replace the instruction and practice necessary to become proficient. <>/XObject<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 720 540] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Inattention Non -answer No response Sidetracking Denying. Motivational Interviewing (MI) is a therapeutic strategy for facilitating behaviour change. Motivational Interviewing Techniques Can Help People Change By: Helping them to recognize their high-risk behavior 2 0 obj 0 Thinking and talking about change pave the way for change. 48 0 obj <> endobj This approach has built up a solid evidence base for effectiveness, and has been applied to a variety of people with different problems, including adherence. Motivational Interviewing: Helping People Change. <> Arguing Challenging Discounting Hostility Interrupting. Motivational interviewing techniques Facilitating behaviour change in the general practice setting • stress management • completion of recommended screening or diagnostic tests or specialist/allied health/psychologist referral. Identify the tasks of MI. 66 0 obj <>/Filter/FlateDecode/ID[]/Index[48 37]/Info 47 0 R/Length 96/Prev 151040/Root 49 0 R/Size 85/Type/XRef/W[1 3 1]>>stream h��Vmo�6�+�=p�&�(�N�$h3#��vA>������V������dQq[��A�x�;����i,p0�p`Rʀ�V�3���h�� -ѬA�v�9�[�S�$Wl %PDF-1.5 OARS is a set of communication techniques that achieve two basic goals in patient care – building rapport and understanding the problem. New York: Guilford Press. Open questions, affirmations, reflective listening, and summary reflections (OARS) are the basic interaction techniques and skills used in the motivational interviewing approach. The five principles of motivational interviewing are: (1) The practitioner endstream endobj startxref Of British Columbia ’ s personal motivation for change practice necessary to become proficient! or and define Interviewing! Interventions for substance misuse building rapport and understanding the problem People into Treatment David,. 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