A Brief Introduction to Motivational Interviewing
|
|
- Chester Davidson
- 7 years ago
- Views:
Transcription
1 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 9, 2011
2 Objectives Become familiar with core themes of motivational interviewing Understand benefits and applications of motivational interviewing
3 History MI debuted in 1983 as an intervention for problem drinkers. In 1991, the first text on MI was published with William Miller and Stephen Rollnick as authors.
4 Initial research studies focused on adult behavioral change for alcohol, drugs, and smoking. Subsequent studies included obesity and children and adolescents.
5 Evidence Based Ruback, Sandboek, Lauritzen, and Christian, 2005 Evaluated 72 randomized controlled trials with MI as the intervention Meta-analysis demonstrated positive effect of MI in all the studies
6 How do we currently promote change with our patients?
7 Insight
8 Knowledge
9 Skills
10 Hell
11 What it s NOT Not a Trick Not a Theory Not Psychotherapy Not a Panacea Not for Everyone or Every Situation
12 Motivational interviewing has been shown to be an effective strategy for behavioral change.
13 Convincing Exercise Client: considering a change Interviewer Convince and persuade speaker to make this change
14 Convincing Exercise Interviewer: Suggestions: These are the reasons why you should make this change. Why don t you just do it? The excuses you are giving just don t make sense. You re just stalling. Well, just do it this way
15 Convincing Exercise How did the client feel? Judged, pressured, resistant, arguing against the change How did the interviewer feel? Tension, difficult conversation
16 Motivational Interviewing a client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence. - Miller & Rollnick, 2002
17 Motivational Interviewing a client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence. - Miller & Rollnick, 2002
18 Motivational Interviewing a client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence. - Miller & Rollnick, 2002
19 Motivational Interviewing a client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence. - Miller & Rollnick, 2002
20 Motivational Interviewing Client centered Patient has the responsibility Partner with the patient Directive Seek to resolve ambivalence Guiding toward specific topics, exploring patient s point of view, and targeting certain aspects of patient s statements Resolve ambivalence Move towards positive change Elicit change talk
21 Applications of MI Risk Behaviors Alcohol and other drug addictions Smoking HIV risk behaviors Eating disorders Adopting healthy behaviors Physical activity Fruit and vegetable consumption
22 Spirit of Motivational Interviewing Belief in the individual To use their own energy and insight to discover the best solutions for themselves Uses good counseling skills Unconditional positive regard Genuineness Empathy Acknowledges There may be strong reasons why a person maintains a particular behavior
23 Common Approach to Behavior Change Advice Can elicit resistance, especially when unwelcome Information Knowing what to do weakly correlated with actually doing a behavior Motivation People vary in level of motivation Style must match motivation
24 Common Approach vs. Spirit of MI Confrontation Education Authority Collaboration Evocation Autonomy
25 Spirit of Motivational Interviewing Collaboration We have expertise, the patient is the expert Evocation Eliciting, not just telling Discover the motivation for change from within the person and evoke it Autonomy Only the client can decide Curiosity, not authority
26 Target: Ambivalence Lack motivation Feel 2 ways about an issue Try to avoid conflict Yes I m interested, but
27 Target: Ambivalence Arguing for one side causes the patient to defend the other As the status quo is defended, the likelihood of change decreases Talk themselves out of considering change
28 4 Motivational Interviewing Principles Roll with resistance Express empathy Develop discrepancy Support self-efficacy
29 4 Motivational Interviewing Principles Roll with resistance Express empathy Develop discrepancy Support self-efficacy
30 4 Motivational Interviewing Principles Roll with resistance Express empathy Develop discrepancy Support self-efficacy
31 4 Motivational Interviewing Principles Roll with resistance Express empathy Develop discrepancy Support self-efficacy
32 4 Motivational Interviewing Principles Roll with resistance Express empathy Develop discrepancy Support self-efficacy
33 4 Motivational Interviewing Principles Roll with resistance Express empathy Develop discrepancy Support self-efficacy R E D S
34 1) Roll with Resistance Dance, don t wrestle Goal is for patient to generate the reason for change Is a behavior, not a personality trait Can be created or lowered by the way that we interact with patients Roll with Resistance Express Empathy Develop Discrepancy Support Self-efficacy
35 1) Roll with Resistance Dance, don t wrestle Goal is for patient to generate the reason for change Is a behavior, not a personality trait Can be created or lowered by the way that we interact with patients Roll with Resistance Express Empathy Develop Discrepancy Support Self-efficacy
36 1) Roll with Resistance We create it by: The righting reflex Making suggestions / telling what to do Trying to convince them to change Predicting dire outcomes Providing info without permission Disagreeing with what the patient sees as important Roll with Resistance Express Empathy Develop Discrepancy Support Self-efficacy
37 1) Roll with Resistance We address it by: Reflections Shifting focus Emphasize patient is in control Obtain permission then provide information and opinions Acknowledge what the patient sees as important Roll with Resistance Express Empathy Develop Discrepancy Support Self-efficacy
38 2) Express Empathy Never judgmental Never condescending Reflective listening Roll with Resistance Express Empathy Develop Discrepancy Support Self-efficacy
39 3) Develop Discrepancy How does current behavior synch with future goals Try to understand why they are ambivalent Seek change talk to increase their perceived discrepancy Roll with Resistance Express Empathy Develop Discrepancy Support Self-efficacy
40 4) Support Self Efficacy Enhance confidence so patient believes change is possible Open questions focusing on ability Personal strengths History of previous successes Trouble shooting potential problems, saboteurs and solutions Roll with Resistance Express Empathy Develop Discrepancy Support Self-efficacy
41 Resolving Ambivalence Change talk! DARN-C Desire: want, prefer, wish Ability: able, can, could, possible Reasons: specific arguments for change Need: important, have to, got to Commitment: going to, will
42 Resolving Ambivalence Change talk! DARN-C Desire: want, prefer, wish Ability: able, can, could, possible Reasons: specific arguments for change Need: important, have to, got to Commitment: going to, will
43 Resolving Ambivalence Change talk! DARN-C Desire: want, prefer, wish Ability: able, can, could, possible Reasons: specific arguments for change Need: important, have to, got to Commitment: going to, will
44 Resolving Ambivalence Change talk! DARN-C Desire: want, prefer, wish Ability: able, can, could, possible Reasons: specific arguments for change Need: important, have to, got to Commitment: going to, will
45 Resolving Ambivalence Change talk! DARN-C Desire: want, prefer, wish Ability: able, can, could, possible Reasons: specific arguments for change Need: important, have to, got to Commitment: going to, will
46 Resolving Ambivalence Change talk! DARN-C Desire: want, prefer, wish Ability: able, can, could, possible Reasons: specific arguments for change Need: important, have to, got to Commitment: going to, will
47 Resolving Ambivalence Change talk! DARN-C Desire: want, prefer, wish Ability: able, can, could, possible Reasons: specific arguments for change Need: important, have to, got to Commitment: going to, will Predicts change
48 Elicit Change Talk People become more committed to doing what they actually say Help them talk themselves into change They argue for change not you Facilitate client statements of Optimism about being able to change Intentions to change
49 Elicit Change Talk Don t dwell on exploring ambivalence if they re ready to change Have them describe how change will look and work What are benefits of making this change What would be your first step What would your plan look like
50 Getting the Conversation Started OARS Open-ended questions Affirmations Reflective listening Summaries
51 Getting the Conversation Started OARS Open-ended questions Affirmations Reflective listening Summaries
52 Getting the Conversation Started OARS Open-ended questions Affirmations Reflective listening Summaries
53 Getting the Conversation Started OARS Open-ended questions Affirmations Reflective listening Summaries
54 Getting the Conversation Started OARS Open-ended questions Affirmations Reflective listening Summaries
55 MI Video Example What was good? What could be better?
56 Getting the Conversation Started OARS Open-ended questions Affirmations Reflective listening Summaries
57 Ask Open-Ended Questions No yes or no answers Should results in a dialogue Ask one question at a time Use respondent s own words, when possible Examples: Tell me about.. Help me understand.. To what extent.. Open-ended questions Affirmations Reflective Listening Summaries
58 Batting Practice
59 Affirmations Statements recognizing client strengths Must be genuine not contrived Builds rapport Increases self-esteem and selfefficacy Open-ended questions Affirmations Reflective Listening Summaries
60 Reflective Listening "Reflective listening is a way of checking rather than assuming that you know what is meant." - Miller & Rollnick, 1991 Open-ended questions Affirmations Reflective Listening Summaries
61 Reflective Listening A fundamental of MI Seek to understand your client s frame of reference When patients feel understood, more likely to discover inner motivation and self-efficacy Must listen carefully in order to reflect Reflections focus on client s change talk Open-ended questions Affirmations Reflective Listening Summaries
62 Some (safe) Reflections The basics It sounds like you are feeling.. It sounds like you are not happy with. It sounds like you are having trouble with.. These may initially feel awkward You re not ready to. You re having a problem with. You re feeling that. It s been difficult for you. Open-ended questions Affirmations Reflective Listening Summaries
63 Types of Reflective Listening Content You see a connection between your inactivity and being overweight and getting diabetes Feelings You are scared that if you don t do something about your weight now you will end up like everyone else in your family with diabetes Meaning Your children are important to you and you want them to be healthy and learn from your example Open-ended questions Affirmations Reflective Listening Summaries
64 Batting Practice Reflective Listening Exercise
65 Some (safe) Reflections The basics It sounds like you are feeling.. It sounds like you are not happy with. It sounds like you are having trouble with.. These may initially feel awkward You re not ready to. You re having a problem with. You re feeling that. It s been difficult for you. Open-ended questions Affirmations Reflective Listening Summaries
66 Summaries Let me see if I understand what you ve told me so far.. Focus on client s statements regarding Problem recognition Reasons for change For ambivalence, summarize pros & cons Optimism confidence about change Ask for feedback about your summary: What have I missed? Open-ended questions Affirmations Reflective Listening Summaries
67 Use Importance/Confidence Ruler On a scale of 1 to 10, how important is it to you to if 1 is important at all and 10 is very important Not at all Very Important Important
68 Use Importance/Confidence Ruler Why did you chose a 6 and not lower number like, 4? They now must state positive reasons for their choice
69 And now a word from the founder of MI What were some techniques used? Did they go well?
70 Ready for Change Get a commitment How likely will you act on this? 3 or lower indicates ambivalence Patient formulates a plan Who will be supportive? Who may create challenges? How will change look? What will be exciting about making the change?
71 Summary Show respect, empathy Do more listening than talking Recognize the patient s autonomy Solutions reside within your clients Their motivation Their behavior Their values and goals Their personal expertise
72 Further Reading
73 Other resources Motivational Interviewing Network of Trainers Cathy Cole
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 informationAlison 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 informationBrief 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 informationUsing 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 informationAccelerated 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 informationMOTIVATIONAL 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 informationOvercoming 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 informationFacilitating 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 informationMOTIVATIONAL 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 informationLeader 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 informationUsing 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 informationMotivational 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 informationEstonian 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 informationHealth Coaching: A New and Exciting Technique to Enhance Patient Self-Management and Improve Outcomes
Health Coaching: A New and Exciting Technique to Enhance Patient Self-Management and Improve Outcomes MELINDA HUFFMAN RN, BSN, MSN, CCNS Home Healthcare Nurse April 2007 Volume 25 Number 4 Pages 271-274
More informationApplication 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 informationMOTIVATIONAL INTERVIEWING: AN INTRODUCTION
Accreditation The content of this Telehealth presentation, in its enduring state, will expire on 01/15/2017 from this date on CNE s can no longer be awarded. Measures have been taken, by the Utah Department
More informationMotivational 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 informationDEPARTMENT 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 informationWhat Is Case Management Anyway?
What Is Case Management Anyway? Basic Housing Case Management Training Facilitated by: Gloria Robinson, MSW Monica Gould, BA 1 Overview of Case Management Roles of Case Management Definition of Case Management
More informationMatching Stages of Change and Treatment to Treatment Goal, Intervention and Technique 1/04 1
Matching Stages of Change and Treatment to Treatment Goal, Intervention and Technique STAGE OF CHANGE/ Pre-contemplation Pre-engagement /engagement I don t see how my substance use warrants concern. Establish
More informationOVERVIEW OF BRIEF INTERVENTION FOR RISKY SUBSTANCE USE IN PRIMARY CARE. Prepared by CASAColumbia
OVERVIEW OF BRIEF INTERVENTION FOR RISKY SUBSTANCE USE IN PRIMARY CARE Prepared by CASAColumbia February 2014 Outline Introduction Three Key Steps Engage Motivate Plan Sample Videos 2 INTRODUCTION 3 Addiction
More informationDancing, not wrestling:
IssueBrief VOLUME 3, ISSUE 2 Dancing, not wrestling: Motivational interviewing helps case managers cultivate relationships and elicit change You cannot fix a client. Of course, every professional case
More informationMotivational 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 informationMotivational Interviewing Strategies and Techniques: Rationales and Examples
Motivational Interviewing Strategies and Techniques: Rationales and Examples ASKING PERMISSION Rationale: Communicates respect for clients. Also, clients are more likely to discuss changing when asked,
More informationMotivational 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 informationMotivational 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 informationChange Plan Worksheet
Motivational Groups for Community Substance Abuse Programs Change Plan Worksheet The changes I want to make (or continue making) are: The reasons why I want to make these changes are: The steps I plan
More informationOverview of Colorado SBIRT
Integrating Mental Health and Substance Use Services with HIV/AIDS Prevention Overview of Colorado SBIRT U.S. Conference on AIDS Orlando, Florida September 13, 2010 Presenter: Leigh Fischer, Program Manager
More informationMOTIVATIONAL INTERVIEWING QUESTIONNAIRE
MOTIVATIONAL INTERVIEWING QUESTIONNAIRE 1. The following are other words that describe the concept of Confrontation Fight Battle Struggle Conflict Opposition 2. Motivational Interviewing is a directive,
More informationIntroduction 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 informationUSING MOTIVATIONAL INTERVIEWING IN SUBSTANCE ABUSE TREATMENT
USING MOTIVATIONAL INTERVIEWING IN SUBSTANCE ABUSE TREATMENT Allegheny HealthChoices, Inc. Spring 2008 This report is the second in a series on substance abuse treatment for the Allegheny County behavioral
More informationTraining professionals in motivational interviewing
Evidence scan: Training professionals in motivational interviewing November 2011 Identify Innovate Demonstrate Encourage Contents Key messages 3 1. Scope 4 2 Characteristics of training 9 3. Characteristics
More informationMotivational Interviewing and Related Techniques for Engaging Adolescents and Families in Behavior Change
Motivational Interviewing and Related Techniques for Engaging Adolescents and Families in Behavior Change David G. Stewart, Ph.D., C.D.P. Seattle Pacific University June 20, 2005 Adolescent Substance Use
More informationFoundation Skills for Substance Abuse Counseling. Geoff Wilson, LCSW, CADC The Ridge Behavioral Health System
Foundation Skills for Substance Abuse Counseling Geoff Wilson, LCSW, CADC The Ridge Behavioral Health System The Take Home!! What do you want to leave with today? Agenda TAP 21: Addiction Counseling Competencies:
More informationTEACHING 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 informationBrief Intervention and Motivational Interviewing Tool
Brief Intervention and Motivational Interviewing Tool This resource was developed by Bronwyn Hagger & Doreen Entwistle, AODP through consultation with Sharon Maroney, Binjari Clinic, Edna Iles & Sheila
More informationCase 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 informationSuggested APA style reference:
Suggested APA style reference: Chapman, C., & Rokutani, L. (2005). Adolescents and substance abuse: What works and why? In G. R. Walz & R. K. Yep (Eds.), VISTAS: Compelling perspectives on counseling,
More informationCystic 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 informationMotivational Interviewing Techniques for Brief Intervention.
Motivational Interviewing Techniques for Brief Intervention. Re-designing How We Treat Substance Use Problems Behavioral Health is Essential to Health Prevention Works Treatment is Effective People Recover
More informationMotivational 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 informationMethamphetamine Behavioral Treatments
California Addiction Training and Education Series Jeanne L. Obert, MFT, MSM Executive Director, Matrix Institute on Addictions Methamphetamine Behavioral Treatments Behavioral Treatment: Contingency Management
More informationScreening, Brief Intervention, Referral, and Treatment (SBIRT) in Psychiatry
Screening, Brief Intervention, Referral, and Treatment (SBIRT) in Psychiatry Steve Martino, Ph.D. The SBIRT Training in Yale Residency Programs (SAMHSA 1U79Ti020253-01; PI: Gail D Onofrio, M.D.) At Issue
More informationDavid C. Maynard, MA, LPCC, NCC Emergency and Trauma Services Chandler Medical Center
ALCOHOL AND DRUG USE: Addressing a Prolific Problem in Healthcare David C. Maynard, MA, LPCC, NCC Emergency and Trauma Services Chandler Medical Center American College of Surgeons Committee On Trauma
More informationMotivational Interviewing: Steps to Success! Create effective dialogue with your client
Motivational Interviewing: Steps to Success! Step 1: Establish Rapport Step 2: Assess Readiness Step 3: Assess Motivation and Confidence Step 4: Patient Identifies Problems and Solutions Step 5: Identify
More informationMotivational Interviewing Building Rapport With Clients to Encourage Desirable Behavioral and Lifestyle Changes
CE Professional Case Management Vol. 17, No. 4, 164-172 Copyright 2012 Wolters Kluwer Health Lippincott Williams & Wilkins Motivational Interviewing Building Rapport With Clients to Encourage Desirable
More informationWhat are Observation skills
KIRKLAND MITCHELL What are Observation skills Kirkland Mitchell 10/25/2010 What are observation skills? Observation skills are when you observe your own behavior and clients behavior, anticipate individual
More informationQUIK FIX p1. Treatment Manual
QUIK FIX p1 Treatment Manual Engaging Young People in Treatment for Mental Health & CANNABIS or Alcohol Issues in a Primary Care Setting NCPIC is an Australian Government Department of Health and Ageing
More informationUNDERSTANDING 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 informationMotivational Interviewing
Motivational Interviewing By Jan Kavookjian, MBA, Ph.D. Reviewed by Chrystian R. Pereira, Pharm.D., BCPS; and Shannon W. Finks, Pharm.D., FCCP, BCPS (AQ Cardiology) Learning Objectives 1. Classify helpful
More informationA Nurse-Delivered Brief Motivational Intervention for. Women Who Screen Positive for Tobacco, Alcohol, or Drug Use
MI-N Manual 1 A Nurse-Delivered Brief Motivational Intervention for Women Who Screen Positive for Tobacco, Alcohol, or Drug Use An Intervention Manual for Project START (Screening To Augment Referral and
More informationShared Solutions: An Overview Special Education Policy and Programs Branch Ministry of Education
Shared Solutions: An Overview Special Education Policy and Programs Branch Ministry of Education Table of Contents 1. Shared Solutions: Overview 2. Understanding Conflict 3. Preventing Conflicts 4. Video:
More informationVIETNAMESE AND AMERICANS IN PARTNERSHIP TO FIGHT HIV/AIDS
Tr ainer Manual Training Curriculum on Drug Addiction Counseling Appendix VIETNAMESE AND AMERICANS IN PARTNERSHIP TO FIGHT HIV/AIDS In July 2011, FHI became FHI 360. FHI 360 is a nonprofit human development
More informationMediation Skills in Conflict Resolution
Mediation Skills in Conflict Resolution Presented by the Federal Mediation and Conciliation Service Considerations of Mediator Training Much is common sense Learn skills and approaches No prescribed or
More informationExecutive Summary and Recommendations
1 of 11 9/15/2011 2:13 PM NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health. Center for Substance Abuse Treatment. SAMHSA/CSAT Treatment Improvement Protocols.
More informationAPPLICATIONS GUIDE. TRACOM Sneak Peek. Excerpts from. Improving Personal Effectiveness With Versatility
APPLICATIONS GUIDE TRACOM Sneak Peek Excerpts from Improving Personal Effectiveness With Versatility TABLE OF CONTENTS PAGE Introduction...1 Prerequisites...1 A Guide for You...1 Why Learn to Become Highly
More informationACTIVITY 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 informationAssessing Health, Promoting Wellness. Recommended Practices: Motivational Interviewing
Recommended Practices: Motivational Interviewing 1 Motivational Interviewing Motivational Interviewing (MI) is an empathic, person-centered, counseling approach that prepares people for change by helping
More information"Removing Barriers: Dual Diagnosis Treatment and Motivational Interviewing"
Sciacca, K. 1997. Removing barriers: dual diagnosis and motivational interviewing. Professional Counselor 12(1): 41-6. Reprinted with permission from Health Communications, publisher of Counselor (formerly
More informationCommunication and Problem Solving
INSTRUCTOR S GUIDE Communication and Problem Solving First Edition, 2006 California Childcare Health Program Administered by the University of California, San Francisco School of Nursing, Department of
More informationExhibit memory of previously-learned materials by recalling facts, terms, basic concepts, and answers. Key Words
The Six Levels of Questioning Level 1 Knowledge Exhibit memory of previously-learned materials by recalling facts, terms, basic concepts, and answers. who what why when where which omit choose find how
More informationmental health-substance use
mental health-substance use recognition and effective responses from General Practice Gary Croton Eastern Hume Dual Diagnosis Service www.dualdiagnosis.org.au This talk: 25 minutes The territory 5 minutes
More informationMODULE 10: SOBRIETY SAMPLING
MODULE 10: SOBRIETY SAMPLING Module 10: Sobriety Sampling Table Of Contents TABLE OF CONTENTS... II MODULE 10: SOBRIETY SAMPLING..... 1 BACKGROUND.... 1 INTRODUCE THE TOPIC... 1 DISCUSS THE RATIONALE...
More informationMembers respond to help identify what makes RNs unique and valuable to healthcare in Alberta.
CARNA - Uniquely RN Members respond to help identify what makes RNs unique and valuable to healthcare in Alberta. RNs have expressed that their role is not always understood by colleagues, employers and
More informationBehavioral Interview Questions
Behavioral Interview Questions Carnegie Mellon has identified five core competencies that are required of all employees for success at the university. These are: Customer Service Teamwork Initiative Leadership
More informationEffective Counseling Skills
Effective Counseling Skills All rights reserved. Daniel Keeran, MSW College of Mental Health Counseling www.collegemhc.com Daniel Keeran, MSW, has been a professional counselor and therapist for over 30
More informationVirtual Child Written Project Assignment. Four-Assignment Version of Reflective Questions
Virtual Child Written Project Assignment Four-Assignment Version of Reflective Questions Virtual Child Report (Assignment) 1: Infants and Toddlers (20 points) Choose 7 or 8 questions whose total point
More informationSubstance Misuse Treatment Framework (SMTF) Guidance for Evidence Based Psychosocial Interventions in the Treatment of Substance Misuse
Substance Misuse Treatment Framework (SMTF) Guidance for Evidence Based Psychosocial Interventions in the Treatment of Substance Misuse ISBN 978 0 7504 6272 3 Crown copyright 2011 WG-12567 F9161011 Contents
More informationbecame a chapter in Counselling, Vol. 2 (2001) edited by Stephen Palmer and
1 Solution-Focused Supervision Adapted from the original article by Bill O Connell and Caroline Jones which later became a chapter in Counselling, Vol. 2 (2001) edited by Stephen Palmer and Judith Milner
More informationMotivational Interviewing: A Patient-Centered Approach to Elicit Positive Behavior Change
Motivational Interviewing: A Patient-Centered Approach to Elicit Positive Behavior Change Karen B. Williams, RDH, MS, PhD; Kimberly Bray, RDH, MS Continuing Education Units: 2 hours Online Course: www.dentalcare.com/en-us/dental-education/continuing-education/ce381/ce381.aspx
More informationSection 11. Giving and Receiving Feedback
Section 11 Giving and Receiving Feedback Introduction This section is about describing what is meant by feedback and will focus on situations where you will be given, and where you will give, feedback.
More informationIs a monetary incentive a feasible solution to some of the UK s most pressing health concerns?
Norwich Economics Papers June 2010 Is a monetary incentive a feasible solution to some of the UK s most pressing health concerns? ALEX HAINES A monetary incentive is not always the key to all of life's
More informationThe SAOR Model for Screening and Initial Assessment
The SAOR Model for Screening and Initial Assessment The key components of the SAOR model are outlined below: Support Ask & Assess Offer Assistance Refer The support aspect of the intervention is guided
More informationThe Coaching Workshop: How to communicate and motivate in a coaching style
The Coaching Workshop: How to communicate and motivate in a coaching style David A. Kahn, MS, LPC, LPCS The Counseling Center of Florence, LLC 323 South McQueen Street Florence, South Carolina, 29501 (843)
More information360 feedback. Manager. Development Report. Sample Example. name: email: date: sample@example.com
60 feedback Manager Development Report name: email: date: Sample Example sample@example.com 9 January 200 Introduction 60 feedback enables you to get a clear view of how others perceive the way you work.
More informationBrief Interventions for other drugs? Luke Mitcheson, Clinical Psychologist,
Brief Interventions for other drugs? Luke Mitcheson, Clinical Psychologist, Ideas in development For who? Delivered by? What? When? How to disseminate outside of specialist commissioned services? Implementation
More informationPlanning Advances Based on a Prospect s State of Readiness
Stages of Change in Senior Housing Sales Planning Advances Based on a Prospect s State of Readiness N early every new inquiry about senior housing relates to an older adult that is struggling with serious
More informationThe only way to keep your health is to eat what you don t want, drink what you don t like, and do what you d rather not
Motivational Interviewing B. Nierenberg, Phd, ABPP University of Miami Miller School of Medicine M. Jensen, PhD U of Washington School of Medicine Motivation Interviewing: Rationale How well people manage
More informationHELPING CHILDREN COPE WITH STRESS
CENTER FOR EFFECTIVE PARENTING HELPING CHILDREN COPE WITH STRESS Stress is a natural and normal part of children's lives. The process of growing up carries with it quite a bit of stress. Children begin
More informationWhat was the impact for you? For the patient? How did it turn out? How has this helped you in your job? What was the result?
EXAMPLE VALUE BASED INTERVIEW QUESTIONS VALUE LEADING QUESTION FOLLOW UP QUESTIONS KEY CRITERIA Compassion Give me an example of a time when you were particularly perceptive regarding a Describe what you
More informationImproving Workplace Communication: An Orientation to the NUDGE Model
TITLE Improving Workplace Communication: An Orientation to the NUDGE Model Module 5 of Team Awareness Training for Substance Abuse Prevention The Workplace Project 1 Institute of Behavioral Research Texas
More informationPERSPECTIVES ON DRUGS The role of psychosocial interventions in drug treatment
UPDATED 4.6.2015 PERSPECTIVES ON DRUGS The role of psychosocial interventions in drug treatment Psychosocial interventions are structured psychological or social interventions used to address substance-related
More informationAn Online Epilepsy Self-Management Program (WebEASE): Development and Process Evaluation
An Online Epilepsy Self-Management Program (WebEASE): Development and Process Evaluation Cam Escoffery, PhD, MPH, CHES, Katherine Yeager, MS, RN, Frances McCarty, PhD, Elizabeth Reisinger, BA, MPH, Elise
More informationTHE UNIVERSITY OF TEXAS AT AUSTIN SCHOOL OF SOCIAL WORK MOTIVATIONAL INTERVIEWING. Course Number: SW393R Instructor: Mary M.
THE UNIVERSITY OF TEXAS AT AUSTIN SCHOOL OF SOCIAL WORK MOTIVATIONAL INTERVIEWING Course Number: SW393R Instructor: Mary M. Velasquez, PhD Unique Number: 61835 E-mail: velasquez@mail.utexas.edu Semester:
More informationCareer Map for HR Information Systems Specialist (HRIS)
Career Map for HR Information Systems Specialist (HRIS) General Information This document provides the recommendations within each of the career models for each of the identified HR functions. This includes
More informationTask 1 Long Reading: Emotional Intelligence
At a glance Level: ISE II Task 1 Long Reading: Emotional Intelligence Focus: Task 1 Long reading Aims: To develop reading strategies by reading an article about emotional intelligence and answering three
More informationGrade 8 Lesson Peer Influence
Grade 8 Lesson Peer Influence Summary This lesson is one in a series of Grade 8 lessons. If you aren t able to teach all the lessons, try pairing this lesson with the Substance and Gambling Information,
More informationTeam Building MARZIO ZANATO
Team Building 1 What is Teamwork & Team Building Teamwork Concept of people working together as a team Team player A team player is someone who is able to get along with their colleagues and work together
More informationWe welcome your comments and suggestions for improvement!
What s Important in My Life The Personal Goals and Values Card Sorting Task for Individuals with Schizophrenia Theresa B. Moyers and Steve Martino Using Motivational Interviewing for clients with schizophrenia
More informationTHE SIX STAGES OF PARENTHOOD
THE SIX STAGES OF PARENTHOOD The task of being a parent parallels children s growth and development. Just as children grow and change as they develop, noted researcher Ellen Galinsky asserts that parents
More informationPerson-centred Therapy
Person-centred Therapy A GUIDE TO COUNSELLING THERAPIES (DVD) Published by: J & S Garrett Pty Ltd ACN 068 751 440 All Case Histories in this text are presented as examples only and any comparison which
More informationINTERVIEW QUESTIONS. Behavioral Questions by Job Competency
INTERVIEW QUESTIONS Initial Questions What is your primary reason for leaving your current company, and how could joining the University of New Mexico/this department fill that need? What do you think
More informationBeing Accountable in Work and Life
Being Accountable in Work and Life Workshop Objectives > Define accountability > Become aware of your own level of accountability > Understand the importance of accountability and how it relates to work
More informationCognitive Behavioral Treatment Interventions for Compulsive Hoarding
Cognitive Behavioral Treatment Interventions for Compulsive Hoarding Thinking Outside our Box(es): A Housing, Service, Clinical and Enforcement Team Approach to Hoarding December, 2007 Christiana Bratiotis,
More informationChapter 3: Team Building
Chapter 3: When students finish studying this part, they should be able to: 1. Define the stages of team development. 2. Explain the selection process of team members. 3. Define the interaction process
More informationHelping You Choose a Counselor or Therapist
Helping You Choose a Counselor or Therapist There are times when personal, work, or family problems make it hard to enjoy life. Maybe you're having trouble sleeping or concentrating at work. Perhaps you
More informationGetting the best from your 360 degree feedback
1 Contents Getting the best from your 360 degree feedback... 3 What it is.... 3 And isn t.... 4 Using the system... 5 Choosing your respondents... 5 Choosing your competencies... 5 Compiling your questionnaire...
More informationSelf-Guided Core Values Assessment
Self-Guided Core Values Assessment Introduction The Center for Ethical Leadership believes that an ethical leader is a person who acts with integrity. We define ethical leadership as: knowing your core
More information