Brief Intervention and Motivational Interviewing Tool

Transcription

1 Brief Intervention and Motivational Interviewing Tool

2 This resource was developed by Bronwyn Hagger & Doreen Entwistle, AODP through consultation with Sharon Maroney, Binjari Clinic, Edna Iles & Sheila Miller Wurli Wurlinjang S&E Unit Northern Territory Government and subject to conditions of Copyright act 1968 and the Northern Territory Copyright policy. For the purposes of health education, the information contained therein may be copied and distributed freely as long as its use is acknowledged and is for non-commercial purposes

3 Extra Information Motivational Interviewing is most useful with clients who are not sure whether they want to change Make sure it is private (not a shame job) Don t be judgemental, critical or confrontational (humbug or bossy) Don t argue roll with resistance (go with the flow) It s the clients choice to change or not to change (self determination) Help the client look at his/her behaviour and how it affects others Ask open ended questions (not yes no questions) epeat back, in your own words, what the person is saying to make sure you have understood what they mean Express empathy (put yourself in the clients shoes) Be genuine and sincere (be honest and real).

4 Brief Intervention & Motivational Interviewing Objective To teach Indigenous Alcohol & Other Drug workers the principles of Brief Intervention and Motivational Interviewing Description Using the principles of Brief Intervention and Motivational Interviewing this tool is a visual aid that may be used to assist in raising awareness, identifying the harms associated with AOD use and as a visual exploration of a clients situation, eg. where they are now and where they would like to be. Key Ask Say - Ask client a question - Give client extra information Task - Ask client to do an activity Note - Additional information for counsellor w - Pages specifically for worker

5 Steps to Brief Intervention Step 1 Get to know the person, find out what worries them. Listen to their story. Step 2 ASK: Do you smoke/drink alcohol/take any other drug? If yes, ASK : How much, how often, and how do you feel about your use? Is there anything that you want to change? Step 3 Decide what stage of change the person is at by what they say. Step 4 Write down their stage of change and what advice you gave them. Next time you see the person ask how they are and what changes they have made. einforce any positive changes and do another Brief Intervention if necessary. Note: Do not do a BI when The person doesn t wish to participate or is intoxicated or is too sick or injured or is in a highly emotional state.

6 Stages of Change Use the chart to determine what stage of change your client is at. Not Worried (pre-contemplator) Person not thinking about change Thinking (contemplator) Person worrying about their behaviour and thinking about change Trying (planning) Person making plans to change their behaviour Doing (action) Person has begun to change their behaviour Sticking to it (maintainance) Person has made change and has stuck to it Ooops Learning (lapse/relapse) Person returned to previous behaviour (had a Slip-up )

7 Stages of Change 1 Make sure they understand the impact on their health and lifestyle Share health information eg pamphlets Offer to help when they are ready to change Proceed with Motivational Interviewing flipchart Offer any relevant pamphlets Give encouragement and support Continue to motivate them to change using MI flipchart Praise how well they are doing einforce any changes made Set some goals (small steps) Give information and support Continue to motivate them to change using MI flipchart 5 Ask how they are going Praise how well they are doing Talk about how much better things are or how better they feel Offer support if required Continue to motivate them to change using MI flipchart What was learned, what could be done differently, encourage them to return to action/maintenance stage Offer any relevant pamphlets Support agencies eg Quit line Congratulate them for continuing to try Prochaska & DiClemente (1986) 4

8 Darwin Northern Territory Queensland Western Australia Brisbane South Australia New South Wales Perth ACT Adelaide Sydney Victoria Melbourne Language Food Kids Husband or Wife Community Country Church Sport Hunting/Gathering POKIES K JQ A 10 K 9 10 A 10 Health & Wellness YOU Gambling Drinking Friends What is important? Money BE E Alcohol (Grog) Culture/Stories Job/Work Gunja Spiritual Beliefs Smokes ine t co S SMOKE Ni Family Nicotine History

9 What is important? This page is used to find out where the person is now and what the important things are in their life. Say - Ask - Ask - Task - Task - Note - Some people have told us their story and they have said some of these things have taken over their life Is anything here taking over your life or controlling you? Or is there anything else that s not shown? What things do you feel strongly about? Draw thick strong lines to where there is a strong connection Draw thinner lines to things not so important Don t draw any lines to things with no importance After lines are drawn Ask - Note - Note - Ask - What does this picture make you think about? Explore areas of significance, eg. Why a particular area is so important If there are opposing strong lines For example, How does being a parent fit with being a drinker?

10 Good things No Good things

11 Good things/no good things Description This page is used to find out the clients feelings and thoughts about their drug & alcohol use The aim is to help the client see that there are more no good things than good things Instructions Task - Note - Task - Draw a leaf on a branch for every good thing about using Write down the good things Draw a leaf for every no good thing about using Ask - Why do you think these things are no good Note - Note - Get the client to convince you that these things are no good Write down the no good things Ask - Look at the picture and describe what the picture is telling you

12 Darwin Northern Territory Queensland Western Australia Brisbane South Australia New South Wales Perth ACT Adelaide Sydney Victoria Melbourne Language Food Kids Husband or Wife Community Country Church Where do you want the strong lines to be? Sport Hunting/Gathering POKIES K JQ A 10 K 9 10 A 10 Health & Wellness YOU Gambling Drinking Friends Money BE E Alcohol (Grog) Culture/Stories Job/Work Gunja Spiritual Beliefs Smokes ine t co S SMOKE Ni Family Nicotine History

13 Where do you want the strong lines to be? Aim Gets the client to choose his/her own path Allows client to make the decisions about changing Encourages belief in the person that they can change. Instructions Ask - Where do you want the strong lines to be? Task - Draw strong lines to things they would like to have a strong connection to Task - Draw thinner lines to things they would like to have a lesser connection to Ask - What does this story tell you? Ask - How easy would it be to change? Ask - What have you tried before? Tell me what happened then Ask - Do you know someone else who has tried to change? Tell me their story

14 Who can help? Social & Emotional Wellbeing YOU Law Counselling ehabilitation Sobering-up shelter Community patrol Friends & Family Traditional Healing Cultural Law Corroboree/Dance Arts & Craft Culture Hunting/Gathering Family Church/Spiritual Elders Hospital Bush Medicine Health Clinic Health Doctors Crisis Management Sport/ecreation Community Council Education Living Employment/Training Arts & Craft Finance/Money Outstation Legal Services Sobering-up Shelter Housing Correctional Services Community Patrol Police Courts

15 Who can help! Aim To show who can help. Ask - Who is the most important person who can help you to change? Say - The number one person is you. But there are many others that can help Ask - Choose the people and organisations who can help you get from where you are now to where you want to be Ask - Can you think of any others that can help you?