An Introduction to Motivational Interviewing

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "An Introduction to Motivational Interviewing"

Transcription

1 AN INTRODUCTION TO MOTIVATIONAL INTERVIEWING For Non-Clinicians Kate Speck, PhD WHAT YOU WILL LEARN IN THIS SERIES This Webinar will review the basics of Motivational Interviewing and will provide an overview of the primary concepts. The discussion will cover definitions of Motivational Interviewing, the importance of creating collaborative environments to enhance the change process, a description of the Motivational Interviewing micro skills, the importance of the Stages of Change in the area of consumer readiness and a description of the goals of Motivational Interviewing. We will cover the essential components of the Spirit of Motivational Interviewing. Goal: To increase the knowledge of non-clinical professionals on the use of Motivational Interviewing in behavior change processes. You will learn: The basics of Motivational Interviewing and its importance in creating a climate for change The critical steps in evoking change talk with your clients The processes that promote successful change with those you serve An evidence based style to engage and retain your clients A way to handle client ambivalence and resistance MAJOR GOALS OF MI APPROACH Create a set of conditions that enhances the person s own motivation and commitment for change Help person focus on his/her situation in a nonjudgmental way Explore and resolve ambivalence Assist a person to move through the stages toward a successful sustained change PPC

2 ESSENTIALS OF MI Motivation to change is elicited from the client, and not imposed from outside. It is the client s task, not the counselor s to resolve ambivalence. Direct persuasion is not an effective method for resolving ambivalence. The patient is supported in identifying and resolving ambivalence Patient values and autonomy respected ESSENTIALS OF MI The practitioner is directive in helping resolve ambivalence. Readiness to change is not a client trait, but a fluctuating product of interpersonal interaction. Change talk recognized & responded to Resistance is treated constructively WHO IS ATTENDING TODAY? PPC

3 THREE ESSENTIAL ELEMENTS IN ANY DEFINITION OF MI MI is a particular kind of conversation about change (counseling, therapy, consultation, method of communication) MI is collaborative (person-centered, partnership, honors autonomy, not expert-recipient) MI is evocative, seeks to call forth the person s own motivation and commitment YOU WOULD THINK... that having had previous education a person would be persuaded to participate, complete the goals and objectives of a program, change their diet, exercise more, and begin to use the recipes that are healthful That being on welfare, having to use food stamps, being in job training programs, and being recommended for education would be enough to convince a person to become responsible 8 YOU WOULD THINK... that the very real threats of blindness, amputations and other complications from diabetes would be enough to motivate weight loss and glycemic control.. that time spent incarcerated and the dehumanizing aspects of being in prison would dissuade people from reoffending.. 9 PPC

4 DEFINITIONS OF MI Three levels of definition (of increasing specificity) 1. A layperson s definition (What s it for?) 2. A pragmatic practitioner s definition (Why would I use it?) 3. A technical therapeutic definition (How does it work?) 1. A LAYPERSON S DEFINITION ( WHAT S IT FOR?) Motivational interviewing is a collaborative conversation to strengthen a person s own motivation for and commitment to change. Motivational interviewing is a person-centered counseling method for addressing the common problem of ambivalence about change. 3. A TECHNICAL THERAPEUTIC DEFINITION (HOW DOES IT WORK?) Motivational Interviewing is a collaborative, goaloriented method of communication with particular attention to the language of change. It is designed to strengthen an individual s motivation for and movement toward a specific goal by eliciting and exploring the person s own arguments for change. PPC

5 WHAT IS MOTIVATIONAL INTERVIEWING? (MI) a method of communication rather than a set of techniques. It is not a bag of tricks for getting people to do what they don t want to do; rather, it is a fundamental way of being with and for people a facilitative approach to communication that evokes change (Miller & Rollnick, 2002) WHAT IS IT GOOD FOR? 2 elements of Motivational Interviewing are evidence based: Engagement Retention Motivational Interviewing ties in with the NIDA Principles of Effective Treatment; engaging and retaining clients in the process enhances their experience of change and leads to successful outcomes 14 RESOLVING AMBIVALENCE The Righting Reflex PPC

6 MI SPIRIT An openness to a way of thinking and working that is collaborative rather than prescriptive, and that honors and respects the students autonomy and self direction. Belief that people inherently move in direction of positive growth in right climate MI Pyramid Strategies Principles Spirit 18 PPC

7 THE SPIRIT OF MOTIVATIONAL INTERVIEWING Autonomy Collaboration Evocation Compassion THE SPIRIT OF MOTIVATIONAL INTERVIEWING SYNERGY QUESTION 2 Please rate your current confidence to use Motivational Interviewing with the consumers you serve: Low Moderate High PPC

8 Motivation should not be thought of as a personality trait rather as a state of readiness or eagerness to change, which may fluctuate from one time or situation to another This state is one that can be influenced Miller & Rollnick (1991) MOTIVATIONAL INTERVIEWING Empathetic, patient-focused directive counseling style Seeks to create conditions for positive behavioral change Well-suited for brief clinical encounters Evidence-based (>200 clinical trials, both adults and adolescents) (grounded in theory, verifiable, generalizable, delivered by wide range of health care practitioners) FOUR FOUNDATIONAL PROCESSES Planning Evoking Focusing Engaging PPC

9 The Spirit of MI vs. Its Mirror Image COLLABORATION VS. CONFRONTATION EVOCATION VS. EDUCATING AUTONOMY VS. AUTHORITY MOTIVATIONAL INTERVIEWING SPIRIT Providing low-key feedback Rolling with resistance (e.g., avoiding arguments, shifting focus). Using a supportive, warm, non-judgmental, collaborative approach? 26 SPIRIT. Conveyance of empathic sensitivity through words and tone of voice. Demonstrate genuine concern and an awareness of the client s experiences. Follow the client s lead in the discussion instead of structuring the discussion according to the clinician s agenda? 27 PPC

10 TWO ASSUMPTIONS: 1. Motivation: due to interpersonal interaction (not just innate character trait) Confrontation leads to resistance Empathy and understanding lead to change 2. Ambivalence to change: normal and natural Competing positive and negative feelings Decision balance: pros and cons MOTIVATIONAL INTERVIEWING: BASIC SKILLS Unconditional Acceptance - the counsellor accepts the client as a person regardless of his or her values, life-style or actual problems; he is respectful towards the client Empathy - understanding another person s emotions and feelings from that persons frame of reference; the counsellor is warm, caring and interested in the client Enhancing Self-efficacy in clients - the counsellor fosters hope and optimism in the clients capacities to change QUESTION 3 How included do you feel with the Motivational Interviewing in your agency? There is no current plan for an MI initiative Low inclusion Moderately Very included PPC

11 THANK YOU EVERYONE! Next session - Dealing with the common issue of AMBIVALENCE PPC

TRADITIONAL APPROACH TO HEALTH BEHAVIOR CHANGE. Client/Patient Education. Client/Patient

TRADITIONAL APPROACH TO HEALTH BEHAVIOR CHANGE. Client/Patient Education. Client/Patient TRADITIONAL APPROACH TO HEALTH BEHAVIOR CHANGE Client/Patient Education Client/Patient MI: THE BASICS Focus on Behavior Change Motivational Interviewing Style or Spirit Asking Open Ended Questions Affirmation

More information

A Brief Introduction to Motivational Interviewing

A Brief Introduction to Motivational Interviewing A Brief Introduction to Motivational Interviewing Stephen Pont, MD, MPH Ava Wood, MSN, RN, NEA-BC Texas Center for the Prevention and Treatment of Childhood Obesity Dell Children s Medical Center April

More information

New Directions in MI. William R. Miller Implement Consulting Group Copenhagen, June 2011

New Directions in MI. William R. Miller Implement Consulting Group Copenhagen, June 2011 New Directions in MI William R. Miller Implement Consulting Group Copenhagen, June 2011 An explosion of knowledge since 2002 >1000 new publications > 200 randomized clinical trials Dozens of books and

More information

These core elements are included in three increasingly detailed levels of definition:

These core elements are included in three increasingly detailed levels of definition: A Definition of Motivational Interviewing The definition of Motivational Interviewing (MI) has evolved and been refined since the original publications on its utility as an approach to behavior change.

More information

Module One Motivational Interviewing Philosophy and Principles

Module One Motivational Interviewing Philosophy and Principles Module One Motivational Interviewing Philosophy and Principles V1.7.13.141031 Helping patients change behavior is an important role for health care providers. Some providers feel that change is the patient

More information

Presented by: Thomas Wood, PhD, LPC

Presented by: Thomas Wood, PhD, LPC Presented by: Thomas Wood, PhD, LPC Compassion is the wish to see others free from suffering. -The Dalai Lama when you are listening to somebody, completely, attentively, then you are listening not only

More information

Motivational Interviewing 10 Things You Should Know. Jonathan Lofgren, Ph.D., LADC Faculty, MCTC

Motivational Interviewing 10 Things You Should Know. Jonathan Lofgren, Ph.D., LADC Faculty, MCTC Motivational Interviewing 10 Things You Should Know Jonathan Lofgren, Ph.D., LADC Faculty, MCTC jonathan.lofgren@minneapolis.edu Outline What is Motivational Interviewing? What is Motivational Interviewing

More information

Disclosure. Learning Objectives. Motivational Interviewing. Christian Hopfer, M.D. University of Colorado Health Science Center Denver, CO

Disclosure. Learning Objectives. Motivational Interviewing. Christian Hopfer, M.D. University of Colorado Health Science Center Denver, CO Motivational Interviewing Christian Hopfer, M.D. University of Colorado Health Science Center Denver, CO Based on the work by: W. R. Miller, Ph.D. S. Rollnick, Ph.D. and Colleagues Thanks also to Steve

More information

Motivational Interviewing Preparing People for Change

Motivational Interviewing Preparing People for Change Motivational Interviewing Preparing People for Change Michaelene Spence MA LADC February 10, 2010 Adapted from Ken Kraybill, MSW Center for Social Innovation Motivational Interviewing A person-centered,

More information

Empowering Client s to Change

Empowering Client s to Change Empowering Client s to Change Presented at DuPage County Adult Protective Services Conference, July 13, 2016 Presented by Angela S. Bentsen, MS LCPC. Program Supervisor, Metropolitan Family Services DuPage

More information

Using Motivational Interviewing to Help Your Patients Make Behavioral Changes

Using Motivational Interviewing to Help Your Patients Make Behavioral Changes Using Motivational Interviewing to Help Your Patients Make Behavioral Changes Jan. 24, 2013 Thomas E. Broffman, PhD, LICSW, LCDP, LCDS, CEAP Broffman Training & Consultation Services P.O. Box 41503, Providence,

More information

Helping People to Change: A Speed Date with Motivational Interviewing

Helping People to Change: A Speed Date with Motivational Interviewing Helping People to Change: A Speed Date with Motivational Interviewing NHCHC: CMS Innovation Grant Scott R. Petersen, LCSW, CAC-III Colorado Coalition for the Homeless E-Mail: spetersen@coloradocoalition.org

More information

Use of Motivational Interviewing Interventions to Move the Client through the Stages of Change

Use of Motivational Interviewing Interventions to Move the Client through the Stages of Change Use of Motivational Interviewing Interventions to Move the Client through the Stages of Change Elizabeth Frei, LCSW Addiction Services Program Coordinator High Focus Centers Taking a new step, uttering

More information

Transforming Health an Inside Job: Using Motivational Interviewing to Build Health Momentum

Transforming Health an Inside Job: Using Motivational Interviewing to Build Health Momentum Transforming Health an Inside Job: Using Motivational Interviewing to Build Health Momentum Paul Warren, LMSW Deputy Executive Director, Director, Training Institute NDRI-USA, Inc., 71 West 23 rd Street,

More information

An Introduction to Motivational Interviewing Strategies: Enhancing Motivation To Change. Overview of Training Content

An Introduction to Motivational Interviewing Strategies: Enhancing Motivation To Change. Overview of Training Content An Introduction to Motivational Interviewing Strategies: Enhancing Motivation To Change Jason R. Kilmer, Ph.D. University of Washington Research Assistant Professor Psychiatry & Behavioral Sciences Assistant

More information

Presented by Shauna McGregor, RDH Community Research Assistant. Baby Teeth Talk Study

Presented by Shauna McGregor, RDH Community Research Assistant. Baby Teeth Talk Study The Role of Motivational Interviewing in the Baby Teeth Talk Study Presented by Shauna McGregor, RDH Community Research Assistant Baby Teeth Talk Study A little bit about me Shauna McGregor Registered

More information

Alison Bell alisonbell2@bigpond.com Medicine in Addictions Conference

Alison Bell alisonbell2@bigpond.com Medicine in Addictions Conference Alison Bell alisonbell2@bigpond.com Medicine in Addictions Conference 2013 Motivational Interviewing Are we Dancing or Wrestling? Definition of Motivational Interviewing Motivational interviewing is a

More information

Motivational Interviewing MONICA BRUNETTI, RN, QMHP, CCM, CCP

Motivational Interviewing MONICA BRUNETTI, RN, QMHP, CCM, CCP Motivational Interviewing MONICA BRUNETTI, RN, QMHP, CCM, CCP Definition Motivational Interviewing focuses on exploring and resolving ambivalence and centers on motivational process with the individual

More information

Motivational Interviewing (MI) a necessity in Medical Education

Motivational Interviewing (MI) a necessity in Medical Education Motivational Interviewing (MI) a necessity in Medical Education Dybesh Regmi MD CCFP Assistant Professor Dept. of Family Medicine United Arab Emirates University Disclosure I have no actual or potential

More information

Motivational Interviewing in a Primary Care Setting. Jerica Berge, PhD, MPH, LMFT, CFLE Tai Mendenhall, PhD, LMFT, CFT

Motivational Interviewing in a Primary Care Setting. Jerica Berge, PhD, MPH, LMFT, CFLE Tai Mendenhall, PhD, LMFT, CFT Motivational Interviewing in a Primary Care Setting Jerica Berge, PhD, MPH, LMFT, CFLE Tai Mendenhall, PhD, LMFT, CFT Learning Objectives Learn about core theoretical tenets of motivational interviewing

More information

DEPARTMENT OF COUNSELING AND EDUCATIONAL PSYCHOLOGY COLLEGE OF EDUCATION 6300 Ocean drive, Unit 5834 Corpus Christi, Texas- 78412-5834 Facilitating Change: Combining Motivational Interviewing and Dialectical

More information

Mental Health for Families in Supportive Housing

Mental Health for Families in Supportive Housing Mental Health for Families in Supportive Housing Parents Mental Health and Its Impact on Children: A Look at Adult Mental Health Issues in the Context of Family Life in Supportive Housing Session #1, February

More information

Motivational Interviewing MOTIVATIONAL INTERVIEWING. Conflict of Interest Disclosure Christine Fiore, PhD

Motivational Interviewing MOTIVATIONAL INTERVIEWING. Conflict of Interest Disclosure Christine Fiore, PhD Christine Fiore, Ph.D. Department of Psychology University of Montana Montana Pain Conference MOTIVATIONAL INTERVIEWING Conflict of Interest Disclosure Christine Fiore, PhD Has no real or apparent conflicts

More information

Ernest Marshall, LCSW, CADC II Motivational Interviewing 3/24/11. Why are you here? What motivated you? What are your goals?

Ernest Marshall, LCSW, CADC II Motivational Interviewing 3/24/11. Why are you here? What motivated you? What are your goals? Ernie Marshall, LCSW, CADC II Ernest.Marshall@csh.dmh.ca.gov 1 Why are you here? Good Morning What motivated you? What are your goals? 2 Introduction Overview of MI concepts Experiential and didactic Won

More information

Motivational Interviewing (MI) for Brief Encounters. Making an impact in 15 min. or less!

Motivational Interviewing (MI) for Brief Encounters. Making an impact in 15 min. or less! Motivational Interviewing (MI) for Brief Encounters Making an impact in 15 min. or less! Colleen Miller, RN, BS, CSBC, CHC Principal, Miller & Huffman Outcome Architects, LLC Co-founder, National Society

More information

MOTIVATIONAL INTERVIEWING MI, GLOSSARY & FACT SHEET

MOTIVATIONAL INTERVIEWING MI, GLOSSARY & FACT SHEET MOTIVATIONAL INTERVIEWING MI, GLOSSARY & FACT SHEET What is Motivational Interviewing - MI? The founders of motivational interviewing are Dr s. William R. Miller & Stephen Rollnick,1991. We have sought

More information

When working with a client, would you rather be

When working with a client, would you rather be Motivational Interviewing: Some Basic Tools Ana Moseley, LISW, ACSW Thomas Peterson, Ph.D. Sponsored by: Sangre de Cristo Community Health Partnership Substance Abuse and Mental Health Services Administration

More information

Brief Intervention Stages of Change and Motivational Interviewing

Brief Intervention Stages of Change and Motivational Interviewing Brief Intervention Stages of Change and Motivational Interviewing James Bray, PhD Alicia Kowalchuk, DO Vicki Waters MS, PA-C InSight SBIRT Residency Training Program This project is funded by Substance

More information

MOTIVATIONAL INTERVIEWING CLINICIAN SELF-ASSESSMENT REPORT MOTIVATIONAL INTERVIEWING CONSISTENT ITEMS

MOTIVATIONAL INTERVIEWING CLINICIAN SELF-ASSESSMENT REPORT MOTIVATIONAL INTERVIEWING CONSISTENT ITEMS MOTIVATIONAL INTERVIEWING CLINICIAN SELF-ASSESSMENT REPORT INSTRUCTIONS: Listed below are a variety of Motivational Interviewing consistent and inconsistent skill areas. Please rate the degree to which

More information

Helping Patients Change Behavior: Why Does Motivational Interviewing Work?

Helping Patients Change Behavior: Why Does Motivational Interviewing Work? Helping Patients Change Behavior: Why Does Motivational Interviewing Work? Friday, October 28 th, 2011; 12:00-2:00pm 1 An Early Intervention TAKE 1: PERSUADE ME! Speaker Role be yourself: Talk to the listener

More information

Motivational Interviewing. Stephen Rollnick PhD College of Medicine, Cardiff University, WALES

Motivational Interviewing. Stephen Rollnick PhD College of Medicine, Cardiff University, WALES Motivational Interviewing Stephen Rollnick PhD College of Medicine, Cardiff University, WALES What s the problem? You would think that.. having had a heart attack would be enough to persuade a man to quit

More information

Examining Miller and Rollnick s Motivational Interviewing approach through the Ways Paradigm

Examining Miller and Rollnick s Motivational Interviewing approach through the Ways Paradigm Examining Miller and Rollnick s Motivational Interviewing approach through the Ways Paradigm Introduction Pressuring clients to change can have a paradoxical effect the greater the force applied, the more

More information

MOTIVATIONAL INTERVIEWING: THEORETICAL MODEL AND WORKING MECHANISM

MOTIVATIONAL INTERVIEWING: THEORETICAL MODEL AND WORKING MECHANISM MOTIVATIONAL INTERVIEWING: THEORETICAL MODEL AND WORKING MECHANISM Raimonda Petroliene Vytautas Magnus University, Lithuania Abstract Purpose usual counseling methods seeking healthy life are less effective

More information

Motivational Interviewing

Motivational Interviewing Motivational Interviewing Clinical Connection Summit Thursday, November 5, 2015 Workshop Session Dr. Sam Wakim Chief Dental Officer Zufall Health Center Disease Management (DM) Group Exercise: Teams of

More information

Motivational Interviewing

Motivational Interviewing Motivational Interviewing Enhancing readiness to Denise Hall, MS, LPC, NCC Bradley Finegood, MA, LLPC June 2006 change Learning Objectives By the end of the session, participant will be able to Explain

More information

Motivational Interviewing (MI): An update on the research

Motivational Interviewing (MI): An update on the research Motivational Interviewing (MI): An update on the research Michael V. Burke, EdD Assistant Professor of Medicine Mayo Clinic College of Medicine Nicotine Dependence Center Annual Conference May 23, 2012

More information

Motivational Interviewing: A Patient Centered Strategy that Builds Provider Awareness and Patient Reflection

Motivational Interviewing: A Patient Centered Strategy that Builds Provider Awareness and Patient Reflection Motivational Interviewing: A Patient Centered Strategy that Builds Provider Awareness and Patient Reflection Gwen Alexander, PhD Henry Ford Health System Department of Public Health Sciences 1R24HS022417

More information

Facilitating Behavior Change

Facilitating Behavior Change Facilitating Behavior Change This section contains the following subjects: Readiness to Change Motivational Interviewing 57 ASSESSING AND INCREASING MOTIVATION Adherence and nonadherence are behaviors,

More information

Glossary of Motivational Interviewing Terms

Glossary of Motivational Interviewing Terms Glossary of Motivational Interviewing Terms Ability A form of client preparatory change talk that reflects perceived personal capability of making a change; typical words include can, could, and able.

More information

Accelerated Students (2D) in Psychiatric Clinical Setting

Accelerated Students (2D) in Psychiatric Clinical Setting Accelerated Students (2D) in Psychiatric Clinical Setting Strengthening the self efficacy through the use of Motivational Interviewing Andrea Katz, RN, MSN, PMHCNS, BC Deborah Schiavone, RN, PhD, PMHCNS,

More information

Changing Patient Behaviors Through Motivational Interviewing. Robyn Woidtke MSN,RN,RPSGT,CCSH, CCP Focus Conference, Spring 2015 Orlando, Florida

Changing Patient Behaviors Through Motivational Interviewing. Robyn Woidtke MSN,RN,RPSGT,CCSH, CCP Focus Conference, Spring 2015 Orlando, Florida Changing Patient Behaviors Through Motivational Interviewing Robyn Woidtke MSN,RN,RPSGT,CCSH, CCP Focus Conference, Spring 2015 Orlando, Florida 1 Objectives Describe Motivational Interviewing (MI) Define

More information

Motivational Interviewing Techniques: Reflection and Open-Ended Questions

Motivational Interviewing Techniques: Reflection and Open-Ended Questions Motivational Interviewing Techniques: Reflection and Open-Ended Questions Paul F. Cook, PhD University of Colorado, College of Nursing Performance/Learning Objectives At the conclusion of this presentation,

More information

Leader s s Guide. Motivating Clients for Treatment and Addressing Resistance

Leader s s Guide. Motivating Clients for Treatment and Addressing Resistance Leader s s Guide Motivating Clients for Treatment and Addressing Resistance Treatnet Training Volume B, Module 2: Updated 15 February 2008 Module 2 training goals: 1. Increase knowledge of motivational

More information

ATAC Conference Addiction & Change. Dr Joel Porter The Pacific Centre for Motivation & Change.

ATAC Conference Addiction & Change. Dr Joel Porter The Pacific Centre for Motivation & Change. ATAC Conference 2009 Addiction & Change Dr Joel Porter The Pacific Centre for Motivation & Change WHAT IS MI? motivational interviewing, a person centred goal oriented approach for facilitating change

More information

Community Care of Wake & Johnston Counties

Community Care of Wake & Johnston Counties Community Care of Wake & Johnston Counties Motivational Interviewing Primer-CCWJC MI Champions Anne Morton, Provider Services Manager, amorton@wakedocs.org Christy Street, MSW, CCM, Social Work Care Manager,

More information

Motivational Interviewing for Peer Specialists

Motivational Interviewing for Peer Specialists Motivational Interviewing for Peer Specialists Provided by Jim Winarski, MSW Florida Mental Health Institute What is Motivational Interviewing? A way to interact with people. A style of counseling that

More information

Motivational Interviewing. Objectives. Communication & Counseling. Behavioral Counseling Skills. Why? Educator Role

Motivational Interviewing. Objectives. Communication & Counseling. Behavioral Counseling Skills. Why? Educator Role Motivational Interviewing Presented by Paula Ackerman, MS, RD, CDE UPDON www.diabetesinmichigan.org Objectives 1. Define motivational interviewing. 2. State 3 goals of motivational interviewing. 3. Demonstrate

More information

Cystic fibrosis: an example of research and practice

Cystic fibrosis: an example of research and practice Cystic fibrosis: an example of research and practice Dr Gary Latchford 2015 Plan Questions from earlier presentation Cystic Fibrosis Our work in CF: Clinical practice, research, and a focus on adherence

More information

Overcoming Resistance to Stopping Tobacco Use: A Motivational Approach

Overcoming Resistance to Stopping Tobacco Use: A Motivational Approach Overcoming Resistance to Stopping Tobacco Use: A Motivational Approach Lowell C. Dale, MD Associate Professor of Medicine Mayo Clinic Nicotine Dependence Center & Division of Primary Care Internal Medicine

More information

Patient Navigator Certificate Course November-March, Healthy Weight Competencies

Patient Navigator Certificate Course November-March, Healthy Weight Competencies Developed by the Outreach Worker Training Institute (OWTI) of Central Massachusetts Area Health Education Center, Inc. Outreach Worker Training Institute (OWTI) Patient Navigator Certificate Course November-March,

More information

WISEWOMAN Motivational Interviewing Training Mike Stratton

WISEWOMAN Motivational Interviewing Training Mike Stratton Mike Stratton OBJECTIVES Understand the stages of change model and implement this model with your clientele Demonstrate the skill set involved in conducting motivational interviewing Create a paradigm

More information

Motivational Interviewing

Motivational Interviewing Motivational Interviewing A Refresher Workshop Presenter: Brenda Westberry Email: Email:WestberryConsulting@gmail.com 1 The METHOD of Motivational Interviewing People are generally better persuaded by

More information

Facilitating Change through Motivational Interviewing: An Interdisciplinary Narrative

Facilitating Change through Motivational Interviewing: An Interdisciplinary Narrative Facilitating Change through Motivational Interviewing: An Interdisciplinary Narrative Steven P. Wells, Ph.D., L.C.S.W. Darcy L. Stowe, M.S., CCC-SLP, LSLS Cert AVT Lindsay Hanna, M.S., CCC-SLP, LSLS Cert

More information

Glossary of Motivational Interviewing Terms

Glossary of Motivational Interviewing Terms Glossary of Motivational Interviewing Terms William R. Miller & Stephen Rollnick Updated July 2012 Ability - A form of client preparatory change talk that reflects perceived personal capability of making

More information

9/20/2016. Values-Based Motivation for Behavioral Change in Patients with Chronic Illnesses. Objectives. Theories of Behavioral Change

9/20/2016. Values-Based Motivation for Behavioral Change in Patients with Chronic Illnesses. Objectives. Theories of Behavioral Change Values-Based Motivation for Behavioral Change in Patients with Chronic Illnesses Michelle A. LeRoy, Ph.D., L.P. Clinical Psychologist Mayo Clinic Health System Red Wing 26 th Annual MNACVPR State Conference

More information

Case Management in Housing First

Case Management in Housing First Case Management in Housing First Purpose This resource provides an overview of the key components of a case management approach from a Housing First perspective. If preparing to deliver a Housing First

More information

Motivational Interviewing for Better Health Outcomes February 22, 2011

Motivational Interviewing for Better Health Outcomes February 22, 2011 Motivational Interviewing for Better Health Outcomes February 22, 2011 Ana Moseley, LISW, ACSW, Clinical Director Tom Peterson, Ph.D., Associate Clinical Director Arturo Gonzales, MA, Ph.D., Executive

More information

Building motivation for behaviour change: Motivational Interviewing

Building motivation for behaviour change: Motivational Interviewing 1 Building motivation for behaviour change: Motivational Interviewing Kim Corace, Ph.D., C. Psych. Clinical Health Psychologist Division of Infectious Diseases The Ottawa Hospital Assistant Professor,

More information

MI is a new paradigm for interacting with defendants, respondent parents, and juveniles (hereinafter clients ).

MI is a new paradigm for interacting with defendants, respondent parents, and juveniles (hereinafter clients ). Motivational Interviewing For Judicial Officers 2002 The Guilford Press. Adapted and reprinted with permission of The Guilford Press. By Judge Bailin, Twentieth Judicial District, Boulder, Colorado Although

More information

Estonian experience in teaching Motivational Interviewing for medical providers

Estonian experience in teaching Motivational Interviewing for medical providers Estonian experience in teaching Motivational Interviewing for medical providers Anneli Rätsep PhD GP senior researcher Department of Family Medicine University of Tartu Doctor s expectations that patient...

More information

MI is about Helping People Change! Facilitating Change through Motivational Interviewing. And So, Why Do People Change?

MI is about Helping People Change! Facilitating Change through Motivational Interviewing. And So, Why Do People Change? Facilitating Change through Motivational Interviewing Lindsay Hanna, M.S., CCC-SLP, LSLS Cert AVT Steven P. Wells, Ph.D., L.C.S.W. Darcy L. Stowe, M.S., CCC-SLP, LSLS Cert AVT Introduction to Motivational

More information

Effective Engagement: How MI can be used to improve asthma management with patients and their families

Effective Engagement: How MI can be used to improve asthma management with patients and their families Effective Engagement: How MI can be used to improve asthma management with patients and their families Prantik Saha, MD, MPH Assistant Clinical Professor of Pediatrics Columbia University Medical Center

More information

INSIGHT: Alcohol and Other Drug Training and Education Unit. Induction Module 5 Motivational Interviewing

INSIGHT: Alcohol and Other Drug Training and Education Unit. Induction Module 5 Motivational Interviewing INSIGHT: Alcohol and Other Drug Training and Education Unit Induction Module 5 Motivational Interviewing 2013 Published by InSight: Alcohol and Other Drug Education and Training Unit, Metro North Mental

More information

MOTIVATIONAL INTERVIEWING. SOW 6425 Professor Nan Van Den Bergh

MOTIVATIONAL INTERVIEWING. SOW 6425 Professor Nan Van Den Bergh MOTIVATIONAL INTERVIEWING SOW 6425 Professor Nan Van Den Bergh MOTIVATIONAL INTERVIEWING A client-centered, directive method for enhancing motivation to change by exploring and resolving a client s ambivalence

More information

Motivational Interviewing Training Program FREE

Motivational Interviewing Training Program FREE Motivational Interviewing Training Program FREE PROGRAM OVERVIEW Mid-America ATTC, in partnership with the Missouri Department of Mental Health, Division of Behavioral Health is providing FREE training

More information

Combining Cognitive Behavioral Therapy and Motivational Interviewing

Combining Cognitive Behavioral Therapy and Motivational Interviewing Combining Cognitive Behavioral Therapy and Motivational Interviewing Jim Carter, Ph.D. Specialty Behavioral Health UCSD SOM La Jolla, CA Presented At: CCCOE Spring Staff Training April, 2011 Agenda CBT

More information

Basic Concepts of Motivational Interviewing for Alcohol and Other Substance Use Disorders

Basic Concepts of Motivational Interviewing for Alcohol and Other Substance Use Disorders Basic Concepts of Motivational Interviewing for Alcohol and Other Substance Use Disorders P R E S E N T E D B Y J U D I T H A. B A Y O G, P H D A S S I S T A N T P R O F E S S O R O F P S Y C H O L O G

More information

Understanding behaviour change: The role of Motivational Interviewing. Dr Jeff Breckon CPsychol. Motivational Interviewing Network of Trainers (MINT)

Understanding behaviour change: The role of Motivational Interviewing. Dr Jeff Breckon CPsychol. Motivational Interviewing Network of Trainers (MINT) Understanding behaviour change: The role of Motivational Interviewing Dr Jeff Breckon CPsychol. Motivational Interviewing Network of Trainers (MINT) Dr Jeff Breckon Understanding behaviour change: The

More information

MODULE 4. Supporting Behavioural Change in Parents Using Motivational Interviewing

MODULE 4. Supporting Behavioural Change in Parents Using Motivational Interviewing MODULE 4 Supporting Behavioural Change in Parents Using Motivational Interviewing 1 Case Example Kit is a 35-year old woman in a stable relationship with a young child aged 18 months. She is also pregnant

More information

Effective Motivational Communication

Effective Motivational Communication Effective Motivational Communication Inspiring Client Change Jennifer D. Irwin, PhD Financial Interest Disclosure (over the past 24 months) Becel Centre for Heart Health Unilever Canada Inc. Effective

More information

Motivational Interviewing: Engaging Patients Through Communication

Motivational Interviewing: Engaging Patients Through Communication Motivational Interviewing: Engaging Patients Through Communication Catherine M. Mullahy, RN, BS, CRRN, CCM President of Mullahy & Associates, LLC Michael G. Goldstein, MD Associate Chief Consultant for

More information

HAND IN HAND: Motivational Interviewing & Person-Centered Planning in Options Counseling

HAND IN HAND: Motivational Interviewing & Person-Centered Planning in Options Counseling HAND IN HAND: Motivational Interviewing & Person-Centered Planning in Options Counseling Shirlayne Quayle Leadership Coach & Personal Expression Artist Q3 International LLC Q3 International LLC Afternoon

More information

Motivational Interviewing in a Chemical Dependency Treatment Setting. A CASAC Continuing Education Workbook

Motivational Interviewing in a Chemical Dependency Treatment Setting. A CASAC Continuing Education Workbook Motivational Interviewing in a Chemical Dependency Treatment Setting A CASAC Continuing Education Workbook Office of the Medical Director & the Bureau of Treatment Steven Kipnis, MD, FACP, FASAM Patricia

More information

Listening and Responding: Skills and a Framework for Helping People Change

Listening and Responding: Skills and a Framework for Helping People Change Listening and Responding: Skills and a Framework for Helping People Change J. Scott Yaruss, Ph.D., CCC-SLP Assistant Professor, University of Pittsburgh Clinical Research Consultant, Children s Hospital

More information

ACTIVITY DISCLAIMER. Using Motivational Interviewing to Facilitate Patient-Centered Conversations about Pain Management and Opioid Use DISCLOSURE

ACTIVITY DISCLAIMER. Using Motivational Interviewing to Facilitate Patient-Centered Conversations about Pain Management and Opioid Use DISCLOSURE Using Motivational Interviewing to Facilitate Patient-Centered Conversations about Pain Management and Opioid Use Kathleen Reims, MD Denise Ernst ACTIVITY DISCLAIMER The material presented here is being

More information

Using Motivational Interviewing Techniques in SMART Recovery. Roadblocks to Listening

Using Motivational Interviewing Techniques in SMART Recovery. Roadblocks to Listening Using Motivational Interviewing Techniques in SMART Recovery By Jim (GJBXVI) Braastad According to research dating back to the 1960 s, people tend to believe what they hear themselves say. However, in

More information

Combining Cognitive Behavioral Therapy and Motivational Interviewing

Combining Cognitive Behavioral Therapy and Motivational Interviewing Combining Cognitive Behavioral Therapy and Motivational Interviewing Jim Carter, Ph.D. Specialty Behavioral Health, La Jolla, CA UCSD SOM Presented At: 39 th Annual Summer Clinical Institute In Addiction

More information

MOTIVATIONAL INTERVIEWING INNOVATION MEANS PRISONS AND COMMUNITIES TOGETHER

MOTIVATIONAL INTERVIEWING INNOVATION MEANS PRISONS AND COMMUNITIES TOGETHER MOTIVATIONAL INTERVIEWING INNOVATION MEANS PRISONS AND COMMUNITIES TOGETHER Does it have a use in the Criminal Justice System? One of the objectives of the Criminal Justice System is to help change offenders

More information

UNDERSTANDING MINDFULNESS-BASED SOBRIETY. Presented by: Dr. Phil Welches and Nick Turner

UNDERSTANDING MINDFULNESS-BASED SOBRIETY. Presented by: Dr. Phil Welches and Nick Turner UNDERSTANDING MINDFULNESS-BASED SOBRIETY Presented by: Dr. Phil Welches and Nick Turner Mindfulness-Based Sobriety Turner, N., Welches, P., & Conti, S. (2014). Mindfulness-based sobriety. Oakland, CA:

More information

Motivational Interviewing: Changing the Conversation

Motivational Interviewing: Changing the Conversation Motivational Interviewing: Changing the Conversation BC Nephrology Days 2010 October 7, 2010 Vancouver, BC Cristine Urquhart, MSW, RSW Change Talk Associates How ready, willing and able are you to be here

More information

Pocket Guide to Patient Healthcare Communication

Pocket Guide to Patient Healthcare Communication Pocket Guide to Patient Healthcare Communication Developed By: VA National Center for Health Promotion and Disease Prevention VHA Office of Patient Care Services in collaboration with VA Employee Education

More information

(Un)Motivated for Change: Using Motivational Interviewing in Group Therapy. Amanda Tyson-Ryba Michelle Olandese University at Buffalo

(Un)Motivated for Change: Using Motivational Interviewing in Group Therapy. Amanda Tyson-Ryba Michelle Olandese University at Buffalo (Un)Motivated for Change: Using Motivational Interviewing in Group Therapy Amanda Tyson-Ryba Michelle Olandese University at Buffalo CCNY 2013 Objectives Overview of MI Background Rationale for group Format

More information

Motivational Interviewing and Oral Health Communication: Case-based Studies. Maureen George, PhD RN AE-C FAAN Diane Jankowski RN BSN CCM

Motivational Interviewing and Oral Health Communication: Case-based Studies. Maureen George, PhD RN AE-C FAAN Diane Jankowski RN BSN CCM Motivational Interviewing and Oral Health Communication: Case-based Studies Maureen George, PhD RN AE-C FAAN Diane Jankowski RN BSN CCM Objectives Identify cueing events in clinical practice that could

More information

Introduction to Interactive Journaling Facilitation Notes

Introduction to Interactive Journaling Facilitation Notes Introduction to Interactive Journaling Facilitation Notes SESSION ONE Learning Objectives - Address common questions about the design and application of Interactive Journals - Review some of the evidence-based

More information

Using Motivational Interviewing to Improve Clinical Outcomes

Using Motivational Interviewing to Improve Clinical Outcomes Using Motivational Interviewing to Improve Clinical Outcomes BARBARA B. WALKER, PH. D. NATIONAL JEWISH HEALTH DENVER, COLORADO BBWALKER@INDIANA.EDU Overview Why MI? What exactly is MI? Spirit Principles

More information

TEACHING THE FOUR PROCESSES

TEACHING THE FOUR PROCESSES TEACHING THE FOUR PROCESSES MINT Pre-Forum Workshop Bill Miller & Terri Moyers Fort Wayne September 2012 Planning Engaging Focusing Evoking Relational Foundation Motivational Interviewing 1. Engaging 2.

More information

Application of Motivational Interviewing to College & Career Decision Making

Application of Motivational Interviewing to College & Career Decision Making Application of Motivational Interviewing to College & Career Decision Making Originally developed by William R. Miller in 1983 as a useful set of techniques to use in the treatment of problem drinkers,

More information

Outline of Today s Talk. Opening Words of Caution 4/19/2012. Why You Might Care About Today s Presentation

Outline of Today s Talk. Opening Words of Caution 4/19/2012. Why You Might Care About Today s Presentation (MI) to Increase Patient Adherence to Medical Regimens Jack Stevens, Ph.D. Psychologist, Nationwide Children s Hospital Associate Professor of Pediatrics, The Ohio State University Why You Might Care About

More information

What is Motivational Interviewing?

What is Motivational Interviewing? What is Motivational Interviewing? with Mary Dugan, PhD, LCSW www.mimhtraining.com Missouri Institute of Mental Health Continuing Education 5400 Arsenal Street St. Louis, MO 63139 314.877.6419 feedback@mimhtraining.com

More information

Homelessness: Knowledge At Work

Homelessness: Knowledge At Work Page 1 of 2 Handout #1: Background of MI A brief history The concept of Motivational Interviewing (MI) grew out of the substance abuse treatment field and was first described by the psychologist, William

More information

Motivational Interviewing. Practice Guide for Practitioners who Support People with Disability

Motivational Interviewing. Practice Guide for Practitioners who Support People with Disability Motivational Interviewing Practice Guide for Practitioners who Support People with Disability Document approval The Motivational Interviewing Practice Guide has been endorsed and approved by: Anna Edwards

More information

Motivational Interviewing (MI) MI Definition. Rationale for MI Style. MI Theory. Spirit of MI. Motivational Interviewing May 6, 2010

Motivational Interviewing (MI) MI Definition. Rationale for MI Style. MI Theory. Spirit of MI. Motivational Interviewing May 6, 2010 Motivational Interviewing () A little background Chris Dunn, Ph.D. University of Washington Kari Stephens, Ph.D. University of Washington Definition iti Rationale for style Learning Definition Rationale

More information

Pamela E. Aeppel, M.A. Shawna L. Thomas, B.A.

Pamela E. Aeppel, M.A. Shawna L. Thomas, B.A. Participant Guide Developed by TACT: Pamela E. Aeppel, M.A. Shawna L. Thomas, B.A. Chief Visual Designer: Kayvrie Vega Child Welfare Training Consortium University of South Florida Participant Guide Page

More information

Motivational Counseling Strategies for the Herbalist Rebecca Snow, MS, CNS, LN, RH(AHG)

Motivational Counseling Strategies for the Herbalist Rebecca Snow, MS, CNS, LN, RH(AHG) Motivational Counseling Strategies for the Herbalist Rebecca Snow, MS, CNS, LN, RH(AHG) First the word - Then the herb Lastly the knife. - Asclepius of Thessaly There are two assumptions practitioners

More information

The Heart of Motivational Interviewing

The Heart of Motivational Interviewing Motivational Interviewing: Guiding Positive Change in Patient Behaviors Ann Landes, Ph.D. The Heart of Motivational Interviewing is about allowing the patient to guide us as we guide them to remain engaged

More information

Building Excellence & Not Islands of Knowledge. Colombo Sri Lanka August 12 to 13, 2016

Building Excellence & Not Islands of Knowledge. Colombo Sri Lanka August 12 to 13, 2016 Building Excellence & Not Islands of Knowledge Colombo Sri Lanka August 12 to 13, 2016 Using Motivational Interview for Behaviour Change in Patients' Dietary Habits Mary Easaw BSc N&D (India), PG Dip HE

More information

Motivational Interviewing (MI) for Nurses

Motivational Interviewing (MI) for Nurses Today we will cover: 1) Compare and Contrast two models of change: Facilitating Behavior Change Using Motivational Interviewing (MI) for Nurses Robin Monson Dupuis, LCSW, SAC Manager Outpatient Aurora

More information

OPTI-MI Questionnaire

OPTI-MI Questionnaire OPTI-MI Questionnaire OPTiMiSE MI Fidelity Self Rating and Training Questionnaire 1. Date 2. Provider 3. Patient 4. What was the patient's attitude at the start of the session? 5. What made it so? MI Fidelity

More information

Motivational Interviewing: Quick and Effective Tools for Clinicians

Motivational Interviewing: Quick and Effective Tools for Clinicians Motivational Interviewing: Quick and Effective Tools for Clinicians November 6-7, 2012 Seattle, WA Co-provided by: Training Xchange University of Washington Center for Commercialization Department of Psychiatry

More information

CORE CONCEPTS IN MOTIVATIONAL INTERVIEWING

CORE CONCEPTS IN MOTIVATIONAL INTERVIEWING Instructor s Manual for CORE CONCEPTS IN MOTIVATIONAL INTERVIEWING with Cathy Cole, LCSW Manual by Ali Miller, MFT CORE CONCEPTS IN MOTIVATIONAL INTERVIEWING The Instructor s Manual accompanies the DVD

More information