Community Care of Wake & Johnston Counties

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Community Care of Wake & Johnston Counties"

Transcription

1 Community Care of Wake & Johnston Counties Motivational Interviewing Primer-CCWJC MI Champions Anne Morton, Provider Services Manager, Christy Street, MSW, CCM, Social Work Care Manager, Erika Wagner, QI Specialist Why is Change so Hard? Feelings Thoughts Practical Barriers Motivational Interviewing Defined Motivational Interviewing is a collaborative, person-centered form of guiding to elicit and strengthen motivation for change. What about Behavior Change and MI? 80% to 90% of healthcare issues are attributed to patient non-adherence and poor lifestyle and behavior choices. Uses skills and strategies to help people think differently about what they are doing Evidenced based health coaching Focus is on ambivalence and resistance- we explore how people make sense of life and the information they ve been given about their condition That desire to FIX patients is the quickest killer of motivation for change and it s what we have the most control over What do we know about behavior change? People Either Resist Change or Straddle the Fence for Good Reasons Significant life distractions or other pressing priorities Does not experience or understand the problem or unable to appreciate the benefits associated with change Cost, inconvenience and undesired trade offs (ex. side effects) Confidence levels informed by past failure Lack of support by others No immediate payoff Why Motivational Interviewing? Provides an alternative approach to the traditional medical model where the professional interacts in a non-collaborative, confrontational style, as the expert whose knowledge is the cure with little regard for the patient s level of motivation or readiness for change. 1

2 What is Motivation? The state or condition of having a strong reason to act or accomplish something o A state of mind, not a character flaw o Multidimensional, dynamic and fluctuating o Interactive and modifiable by the clinician MI is. Effective in many areas of behavior change Learnable and specific interventions A way of being with clients/patients One of many useful interventions The Righting Reflex Spirit of Motivational Interviewing People in the Helping Professions have Natural Tendency to want to FIX what s wrong with patients. This is called The Righting Reflex When you want to jump in and tell them what to do, try asking permission first May I share some information with you? Would it be okay if I shared some information with you? Partnership Confrontation) Acceptance Disapproval) MI is a collaborative partnering with patients Ask for permission See the patient as the expert on themselves Client is responsible for change which arises from within Respect patient autonomy whether or not they change Inform and encourage choices without judgment Spirit of Motivational Interviewing MI Communication Principles Compassion Judging) Evocation Education) Genuine care and concern Understand and validate the struggle Evoking the patient s own motivation and resources for change Trust the patient to be motivated for something Asking versus telling Avoid expert trap Roll with Resistance Express empathy Avoid Argumentation Develop discrepancy Support self-efficacy 2

3 Roll with Resistance/Avoid Argumentation Example Roll with Resistance/Avoid Argumentation Roll with Resistance not responding with persuasion or direct confrontation, but to side step an argument and encourage conversation Avoid arguing for change Emphasize personal choice Ignore antagonistic statements Resistance is a signal that we need to respond differently Patient: I just don t think I can quit smoking I ve tried before but it s how I relax especially when I get off work in the afternoon. Provider: It sounds like smoking is a big part of how you relax and the idea of stopping seems too hard. Express Empathy Expressing Empathy Express empathy..to understand the client s world Empathy reflects an accurate understanding Acceptance facilitates change Skillful reflective listening is fundamental Ambivalence is normal Leads to & patient outcomes - Patient feels understood - Reduces anxiety - Improves adherence Patient: I just don t know if I can take this medication twice a day every day. Provider: Sally, it sounds like this would be a big change for you and you re worried you won t be able to take this medication as prescribed. To help the patient see the contrast between what they want and what they do A discrepancy between present behavior and important personal goals or values will motivate change Developing discrepancy creates dissonance (that uncomfortable feeling you get from continuing the current behavior) Techniques/strategies for helping to develop discrepancy: Repeat back Pros and Cons stated by patient 3

4 Support Self-Efficacy Ask questions about behaviors that don t support goals set by the patient. To foster hope in the patient that he/she can achieve desired changes. Mr. Jones, I am concerned that your Advair refill has been ready for about two weeks. You told me last time that you didn t want to end up back in the hospital with an asthma flair. What are your thoughts about how this might affect that goal? A person s belief in the possibility of change is an important motivator Notice, support and encourage patient attempts or even thoughts about change Praise the behavior, not the person The patient, not the practitioner, is responsible for choosing and carrying out change Example (Support Self-efficacy) Summing up the Principles I really believe you are on your way to better health since you are thinking about using your inhalers for asthma. People experience ambivalence the conflicting thoughts and feelings about a particular behavior or change that holds pros and cons for them It s great that Joey hasn t had an emergency room visit for an asthma flair in 3 months! Tell me what you re doing to keep Joey s asthma better controlled. You were able to decrease smoking before, I m confident you can do it again. What worked for you last time? When a person experiences a discrepancy between how things are and how they want them to be they tend to be motivated to reduce that discrepancy if it seems possible to do so Person (patient) has to argue for change MI Principles MI Methods MI Processes Express Empathy Roll with Resistance Avoid Argumentation Support Self-Efficacy Open-Ended Questions Reflective Listening Summaries Elicit Change Talk Engaging-empathic listening Build Rapport Using OARS Focusing-targeting change Agenda mapping Elicit-Provide-Elicit Evoking-patients ideas Pro and cons Agenda Mapping Planning-setting up structured change Stages of Change Often, the processes overlap, so use what works with a given patient at a given time. Where a patient is on the continuum determines what processes and what interventions make the most sense. Change is a process not an event. There are different stages along the change continuum. 4

5 - Open Ended Questions Reflective Listening Summary Statements Closed Ended Questions vs. Open Ended Questions Closed ended questions Can be answered with a single word or two word response. Don t leave much room for elaboration, interpretation or opinion. Leave little room for new ideas and they don t spark creativity or imagination which would lead to new questions. Do you take your medications? How often do you eat fast food? Have you been taking your medicines? Closed Ended Questions vs. Open Ended Questions Open ended questions Cannot be answered with one word responses. Invite responders to say what is important to them. (invites relationship) A great tool to promote creative thought & problem-solving skills because it forces a person to spend more time contemplating their response. Examples of open ended questions: How can I help you with your asthma/breathing?. How would you like things to be different? How have you been taking your medicines? What things would you be able to do if you could breathe better? Why Why Questions Don t Work Why questions are open-ended questions but can have unintended overtones or criticism. This may lead patients to defend the status quo. Why don t you want to take your medication? Why can t you stop smoking? Why haven t you filled your prescriptions? are statements or gestures that recognize and acknowledge patient s strengths and behaviors that guide in the direction of positive change. Gestures- Nodding head Leaning forward and appearing engaged 5

6 can be delivered in several different forms. Appreciation: You re a very resourceful person. Thank you for coming in today. Confidence-building: You ve succeeded through some difficult changes in the past Reinforcement: That s a good idea or Good for you Build rapport Understand where the patient is coming from Demonstrates points of relation should be sincere and consistent to be effective. Reinforce the patient s efforts Praise his/her efforts and all accomplishments Always reinforce efforts, no matter if the efforts are big or small! Reflective Listening Reflective Listening is the skill of responding to the other person s comment by saying what you understand him/her to have said. This can be a powerful tool of communication. You simply reflect to the client what you think you heard, making sure to reflect his/her feelings. Purposes of Reflective Listening Encourage Further Disclosure: invites patients to confirm or correct the reflection and say more about themselves Encourage Ownership: only they can know what matters to them Highlight discrepancy: explore discrepancies using the person s own words Summary Statement(s) Summary Statements A summary is essentially reflections of the conversation and points discussed. It is a statement or restatement of main points covered. A good summary will show that you have been listening carefully to and remembering what the patient said. This can strengthen your relationship & build trust with the patient by confirming they were heard. Providing a summary allows you to bring together the pieces of the picture and to see whether you have missed anything important. To do this, you can follow a summary by asking What else? 6

7 Summary Examples. Throughout our conversation you have said you would like to reduce the amount of times Johnny has to go to the emergency room by starting to give him the controller medication twice a day QUESTIONS? Michael, I heard you say you might think more seriously about quitting smoking if you could come up with some alternative ways to de-stress, is that right? MI Resources & References Rollnick S, Miller W, Butler C. (2009). Motivational Interviewing in Health Care, New York: Guilford Press. Rollnick S, Mason P, Butler C. (2000). Health Behavior Change: A Guide for Practitioners, London: Churchill Livingstone. Miller WR, Rollnick S. (2002). Motivational Interviewing, 2 nd Edition: Preparing People for Change, New York, NY: The Guilford Press. Motivational Interviewing: Helping People Change, 3rd Edition (Applications of Motivational Interviewing) 3rd Edition Miller W, Rose G. (2009). Toward a theory of motivational interviewing. American Psychologist, 64(6): Kavookjian J, Elswick B, Whetsel T. Interventions for being active among individuals with diabetes. Diabetes Educator 2007; 33(6): Soria R, Legido A, Escolano C, et al. A randomised controlled trial of motivational interviewing for smoking cessation. Br J Gen Prac, 2006;56: Van Wormer JJ, Boucher JL. Motivational interviewing and diet modification: A review of the evidence. Diabetes Educator, 2004; 30(3): Burke BL, Arkowitz H, Menchola M: The efficacy of motivational interviewing: a meta-analysis of controlled clinical trials. J Consul Clin Psych 2003; 71: Knight KM, McGowan L, Dickens C, Bundy C. A systematic review of motivational interviewing in physical health care settings. British Journal of Health Psychology 2006; 11: Rubak S, Sandboek A, Lauritzen T, Christensen B. Motivational interviewing: a systematic review and meta-analysis. B J Gen Prac, 2005; 55: Dunn C, Deroo L, Rivara FP. The use of brief interventions adapted from motivational interviewing across behavioral domains: a sstematic review. Addiction 2001; 96: ,. Kavookjian J, et al. Patient decision-making: Strategies for diabetes diet adherence intervention. Res Soc Admin Pharm. 2005;1: Kavookjian J, et al. Helping Patients Change for Diabetes Self Management. Oct Lauren Moyer, L.M., S.W., C.C.D.P.D., C.C.G.C Motivational Interviewing: Preparing People to Change-A Skill Building Training Auburn University Motivational Interviewing Training Institute: 7

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

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

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

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

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

An Introduction to Motivational Interviewing

An Introduction to Motivational Interviewing 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

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

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

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

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

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

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

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

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

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

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

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

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

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

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. 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

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

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

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

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

Motivational Interviewing: Steps to Success! Create effective dialogue with your client

Motivational 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 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

MOTIVATIONAL INTERVIEWING: AN INTRODUCTION

MOTIVATIONAL 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 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

Motivational Interviewing, the Asthma Action Plan, and Sharing Decision Making with Patient s Families

Motivational Interviewing, the Asthma Action Plan, and Sharing Decision Making with Patient s Families Motivational Interviewing, the Asthma Action Plan, and Sharing Decision Making with Patient s Families AAP/KY Chapter Quality Network Learning Session July 17, 2015 Sarah Spurling, Ph.D., HSP Pediatric

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

Health 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 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 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

Motivational Interviewing

Motivational Interviewing Motivational Interviewing Sharone Abramowitz, MD Dr.Abramowitz@gmail.com www.miformds.com Behavioral Medicine Director Primary Care Medicine Residency (UCSF Affiliate) Alameda County Medical Center Motivational

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 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

Motivational Interviewing: A client-centered approach to health care behavior change

Motivational Interviewing: A client-centered approach to health care behavior change Motivational Interviewing: A client-centered approach to health care behavior change Pamela J. Myhre APNP, CDE pmyhre@swtc.edu 608-412-1751 Objectives At the end of this session, the participant will:

More information

Using Motivational Interviewing to Improve Self-Care Among Individuals with MS

Using Motivational Interviewing to Improve Self-Care Among Individuals with MS Using Motivational Interviewing to Improve Self-Care Among Individuals with MS Aaron Turner, PhD, ABPP VA Puget Sound Health Care System VA MS Center of Excellence West Dept. Rehabilitation Medicine, University

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

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

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: 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 Amy J. Warren, CRADC, MISA II Gateway Foundation Alcohol & Drug Treatment September 13, 2012 1 p.m. to 2 p.m. Visit: RecoverGateway.org 24-Hour Helpline: 877-505-HOPE (4673) 1

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

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

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

Self-Management Support/Education...1. Table 1: Comparison of Traditional Education & Self-Management Education...3

Self-Management Support/Education...1. Table 1: Comparison of Traditional Education & Self-Management Education...3 Patient Self-Management A Discussion Paper December 2007 TABLE OF CONTENTS Self-Management Support/Education...1 Table 1: Comparison of Traditional Education & Self-Management Education...3 Empowerment-Based

More information

Patient Education. Full Project. Description. Application in Office or at Home

Patient Education. Full Project. Description. Application in Office or at Home Patient Education Full Project Description The World Health Organization defines patient education as any combination of learning experiences designed to help individuals improve their health, by increasing

More information

ROCKIN IT WITH MOTIVATIONAL INTERVIEWING

ROCKIN IT WITH MOTIVATIONAL INTERVIEWING ROCKIN IT WITH MOTIVATIONAL INTERVIEWING P R E S E N T E D T O G R A N D J U N C T I O N M E D I C A L S Y M P O S I U M A U G U S T 8, 2 0 1 3 WHY MI? For every complex problem, there is an easy answer,

More information

Chapter 2 Essential Skills for Case Managers

Chapter 2 Essential Skills for Case Managers Chapter 2 Essential Skills for Case Managers 2.1 Essential Skill Overview If you ask ten people what case management means to them, you will most likely get ten different answers. Though case management

More information

OVERVIEW 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 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 information

Dancing, not wrestling:

Dancing, 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 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

Motivational Interviewing

Motivational Interviewing Motivational Interviewing Motivational Interviewing: Facilitating Behavior Change Sponsored by: Mayo Clinic Nicotine Education Program Are you frustrated at your attempts to motivate people to change harmful

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

Matching 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 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 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

Motivational Interviewing

Motivational 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 information

Motivational Interviewing Building Rapport With Clients to Encourage Desirable Behavioral and Lifestyle Changes

Motivational 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 information

The 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

The 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 information

Effective Listening Skills

Effective Listening Skills Effective Listening Skills Overview: This class will teach awareness and knowledge of good listening skills Key Goal: To listen to people and show respect to the speaker. List the benefits of good listening

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

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

Brief Interventions for other drugs? Luke Mitcheson, Clinical Psychologist,

Brief 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 information

Motivational Interviewing Strategies and Techniques: Rationales and Examples

Motivational 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 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

Motivational 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 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 information

Motivation tools The Line, box and circle

Motivation tools The Line, box and circle Motivation tools The Line, box and circle Let the patient do the work Do you often feel that you waste energy persuading your hearing loss patients to change behavior with a questionable result? And somehow

More information

David C. Maynard, MA, LPCC, NCC Emergency and Trauma Services Chandler Medical Center

David 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 information

Motivational Interviewing and the Patient Centered Medical Home:

Motivational Interviewing and the Patient Centered Medical Home: Motivational Interviewing and the Patient Centered Medical Home: A Strategic Approach to Self-Management Support in Primary Care STEVEN COLE, MD, CONNIE DAVIS, MN, GNP-BC, MARY COLE, FNP-BC, DAMARA GUTNICK,

More information

Three Theories of Individual Behavioral Decision-Making

Three Theories of Individual Behavioral Decision-Making Three Theories of Individual Decision-Making Be precise and explicit about what you want to understand. It is critical to successful research that you are very explicit and precise about the general class

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 IN THE HOMEBUILDERS MODEL

MOTIVATIONAL INTERVIEWING IN THE HOMEBUILDERS MODEL MOTIVATIONAL INTERVIEWING IN THE HOMEBUILDERS MODEL The HOMEBUILDERS model first incorporated the strategies of Motivational Interviewing (MI) developed by Miller and Rollnick (Miller and Rollnick, 1991;

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

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

MODULE 10: SOBRIETY SAMPLING

MODULE 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 information

INCREASING IMPORTANCE IN MOTIVATIONAL INTERVIEWING

INCREASING IMPORTANCE IN MOTIVATIONAL INTERVIEWING Instructor s Manual for INCREASING IMPORTANCE IN MOTIVATIONAL INTERVIEWING with CATHY COLE, LCSW Manual by Ali Miller, MFT INCREASING IMPORTANCE IN MOTIVATIONAL INTERVIEWING The Instructor s Manual accompanies

More information

What Is Case Management Anyway?

What 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 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

The Coaching Workshop: How to communicate and motivate in a coaching style

The 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 information

1. Demonstrate an understanding of conflict resolution strategies.

1. Demonstrate an understanding of conflict resolution strategies. Lesson Plan # 5 Global Title: Conflict Resolution Objectives: In this lesson, the participants will: 1. Demonstrate an understanding of conflict resolution strategies. 2. Practice assertive communication.

More information

Difficult Tutoring Situations

Difficult Tutoring Situations Difficult Tutoring Situations At some time or other, all tutors will find themselves faced with difficult situations in a tutoring session. The following information will provide you with some common categories

More information

Chapter 7.2 Motivational Interviewing and Transtheoretical Model

Chapter 7.2 Motivational Interviewing and Transtheoretical Model Chapter 7.2 Motivational Interviewing and Transtheoretical Model p a g e 2 7.2 Motivational Interviewing (Georg Kremer) and Transtheoretical Model This text on an introduction to Motivational Interviewing

More information

Listening skills audit

Listening skills audit Listening skills audit There are 30 statements to consider. Decide how much you agree or disagree with each statement, and circle the appropriate number. Once you re finished, count up your score and see

More information

Managing Conflict. Building Blocks for Supervisors Series February, 2015

Managing Conflict. Building Blocks for Supervisors Series February, 2015 Managing Conflict Building Blocks for Supervisors Series February, 2015 What is Conflict? A fight, battle or struggle Controversy; disagreement; quarrel Incompatibility or interference Conflict Myths &

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

Motivational interviewing: Empowering patients to change behaviors Anita Sharma, Ashley Crowl, Chrystian Pereira, and Jean Moon

Motivational interviewing: Empowering patients to change behaviors Anita Sharma, Ashley Crowl, Chrystian Pereira, and Jean Moon CPE Motivational interviewing: Empowering patients to change behaviors Anita Sharma, Ashley Crowl, Chrystian Pereira, and Jean Moon Abstract Objective: To review the history behind motivational interviewing

More information

became a chapter in Counselling, Vol. 2 (2001) edited by Stephen Palmer and

became 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 information

Goal Setting. Your role as the coach is to develop and maintain an effective coaching plan with the client. You are there to

Goal Setting. Your role as the coach is to develop and maintain an effective coaching plan with the client. You are there to Goal Setting Your role as the coach is to develop and maintain an effective coaching plan with the client. You are there to Brainstorm with the client to define actions that will enable the client to demonstrate,

More information

The ABC s of Interviewing By Shelia Spencer, DTM The Toastmaster, February 2003, pp 8-11

The ABC s of Interviewing By Shelia Spencer, DTM The Toastmaster, February 2003, pp 8-11 The ABC s of Interviewing By Shelia Spencer, DTM The Toastmaster, February 2003, pp 8-11 How to make interviews less stressful and more successful Most people consider job interviewing a very stressful

More information

GUIDE TO PATIENT COUNSELLING

GUIDE TO PATIENT COUNSELLING Guide To Patient Counselling page - 1 - GUIDE TO PATIENT COUNSELLING Communication is the transfer of information meaningful to those involved. It is the process in which messages are generated and sent

More information

Motivational Interviewing 101. Aaron Norton, LMHC, CAP, CRC

Motivational Interviewing 101. Aaron Norton, LMHC, CAP, CRC Motivational Interviewing 101 Aaron Norton, LMHC, CAP, CRC "A client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence" (Miller & Rollnick,

More information

Professional Clinical Ladder Program Application

Professional Clinical Ladder Program Application Professional Clinical Ladder Program Application Table of Contents Introduction Letter 2 New Applicant Process 3 Getting Started 4 Application Process Diagram 5 Demographic Profile 6 How to Write a Narrative

More information

STEP 5: Giving Feedback

STEP 5: Giving Feedback STEP 5: Giving Feedback Introduction You are now aware of the responsibilities of workplace mentoring, the six step approach to teaching skills, the importance of identifying the point of the lesson, and

More information

Screening, Brief Intervention, Referral, and Treatment (SBIRT) in Psychiatry

Screening, 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 information

Training professionals in motivational interviewing

Training 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 information

The 360 Degree Feedback Advantage

The 360 Degree Feedback Advantage viapeople Insight - Whitepaper The 360 Degree Feedback Advantage How this powerful process can change your organization Karen N. Caruso, Ph.D. Amanda Seidler, Ph.D. The 360 Degree Feedback Advantage Champions

More information

HUMAN RESOURSES COLLEGE OF EDUCATION AND HUMAN ECOLOGY. Manager's Guide to Mid-Year Performance Management

HUMAN RESOURSES COLLEGE OF EDUCATION AND HUMAN ECOLOGY. Manager's Guide to Mid-Year Performance Management HUMAN RESOURSES COLLEGE OF EDUCATION AND HUMAN ECOLOGY Manager's Guide to Mid-Year Performance Management Table of Contents Mid-year Performance Reviews... 3 Plan the performance appraisal meeting... 3

More information

Planning Advances Based on a Prospect s State of Readiness

Planning 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 information

Importance of Motivational Interviewing in Increasing Adherence to Treatment

Importance of Motivational Interviewing in Increasing Adherence to Treatment 05-O Donohue-(V-5).qxd 6/9/2006 10:39 AM Page 71 5 Promoting Treatment Adherence Through Motivational Interviewing Ana M. Bisonó Jennifer Knapp Manuel Alyssa A. Forcehimes In medical settings, patient

More information