Ready 4 Change. A Group Therapy Programme based on Motivational Interviewing Principles

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1 Ready 4 Change A Group Therapy Programme based on Motivational Interviewing Principles

2 Ready 4 Change Programme Promote treatment readiness Enhance motivation to engage in treatment Enhance motivation to facilitate further change, and engagement in more challenging offence specific psychological treatment programmes 2

3 Theoretical Underpinnings Emphasis on empathy, optimism and respect for client choice (Rogers, 1961) Stages of change model (Prochaska, DiClemente and Norcross, 1992) Self-Determination Theory (SDT), (Ryan & Deci, 2000) 3

4 Motivational Interviewing Approach Collaborative approach, therapist facilitates the change process Change for external reasons is often weak and short lived (Ryan & Deci, 2000) Techniques to enhance internal motivation need to be utilised Exploring and resolving ambivalence (Miller & Rollnick, 2002) 4

5 Motivational Interviewing Approach Three basic factors underpinning internal motivation: 1. Autonomy 2. Competence 3. Supporting relatedness 5

6 Pre- and Post-Treatment Assessments Corrections Victoria Treatment Readiness Questionnaire (CVTRQ) University of Rhode Island Change Assessment Scale (URICA) Personal Concerns Inventory- Offender Adaptation (PCI-OA) 6

7 Ready 4 Change Programme Format Session One: Introducing the programme, introducing ourselves. Session Two: Identifying important life goals. Session Three: Thinking about the things that get in the way of us achieving our goals, and beginning to think about ways to deal with the barriers. Session Six: Why is changing so difficult? Thinking about the pro s and con s of changing. Session Seven: Building confidence to change. Session Eight: Creating change plans for the future. Session Four: Thinking about how people change. Session Five: How ready for change am I? 7

8 8

9 Ready 4 Change Programme Format 9

10 Ready 4 Change Programme Format 10

11 Ready 4 Change Programme Format Precontemplation Contemplation Preparation Action Maintenance (Relapse) 11

12 Ready 4 Change Programme Format 12

13 Ready 4 Change Programme Format 13

14 Ready 4 Change Programme Format 14

15 Ready 4 Change Programme Format 15

16 16

17 17

18 Thank you for listening Any questions? 18

19 References Casey, S., Day, A., Howells, K., & Ward, T. (2007). Assessing Suitability for Offender Rehabilitation Development and Validation of the Treatment Readiness Questionnaire. Criminal Justice and Behavior, 34(11), Cox, W. M., & Klinger, E. (2002). Motivational structure: Relationships with substance use and processes of change. Addictive behaviors, 27(6), McConnaughy, E. A., Prochaska, J. O., & Velicer, W. F. (1983). Stages of change in psychotherapy: Measurement and sample profiles. Psychotherapy: Theory, Research & Practice, 20(3), 368. Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change Guilford. New York. Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992). In search of the structure of change. In Self change (pp ). Springer New York. Rogers, C. (2012). On becoming a person: A therapist's view of psychotherapy. Houghton Mifflin Harcourt. Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American psychologist, 55(1),

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