Presented by: Thomas Wood, PhD, LPC

Size: px
Start display at page:

Download "Presented by: Thomas Wood, PhD, LPC"

Transcription

1 Presented by: Thomas Wood, PhD, LPC

2 Compassion is the wish to see others free from suffering. -The Dalai Lama when you are listening to somebody, completely, attentively, then you are listening not only to the words, but also to the feeling of what is being conveyed, to the whole of it, not part of it. - Jiddu Krishnamurti Miller, William R.; Rollnick, Stephen P. (2012)

3 Layperson s definition: Motivational interviewing is a collaborative conversation style for strengthening a person s own motivation and commitment to change. Practitioner s definition: Motivational interviewing is a personcentered counseling style for addressing the common problem of ambivalence about change. Technical definition: Motivational interviewing is a collaborative, goal-oriented style of communication with particular attention to the language of change. It is designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the person s own reasons for change within an atmosphere of acceptance and compassion. Miller, William R.; Rollnick, Stephen P. (2012)

4 MI is not a way of manipulating people into doing what you want them to do. MI cannot be used to manufacture motivation that is not already there. MI is to be used to promote others welfare and best interests, not one s own. Miller, William R.; Rollnick, Stephen P. (2012)

5 Four Central Aspects: Partnership Acceptance Compassion Evocation Miller, William R.; Rollnick, Stephen P. (2012)

6 Collaboration vs. Confrontation Evocation vs. Exhortation Autonomy vs. Authority Compassion is the wish to see others free from suffering. -The Dalai Lama Motivational Interviewing, Miller and Rollnick, 1991

7 Precontemplation Contemplation Preparation Action Maintenance Prochaska & DiClementi, Norcross (1992)

8 Express empathy Develop Discrepancy Roll With Resistance Support Self-efficacy Motivational Interviewing, Miller and Rollnick, 1991

9 Developing Discrepancy Ambivalence is normal and 1st step toward Change Acceptance vs. Denial of the condition (at any stage of change this can occur) Ambivalence intensifies as Discrepancy increases Let the consumer voice Arguments for Change Motivational Interviewing, Miller and Rollnick, 1991

10 Engaging Focusing Evoking Planning Miller, William R.; Rollnick, Stephen P. (2012)

11 Establishing Rapport: a helpful connection, a collaborative working relationship MI is like dancing rather than wrestling not a process of overpowering and pinning an adversary. This is important because when the goal is for another person to change, the counselor can t do it alone. Miller, William R.; Rollnick, Stephen P. (2012)

12 Focusing is the process by which clinican develops and maintains a specific direction in the conversation about change The Client s agenda and Clinician s agenda May or may not involve a behavior change, might be an internal decision (decision to learn how to counter automatic negative thoughts) Miller, William R.; Rollnick, Stephen P. (2012)

13 Involves eliciting the client s own motivations for change Occurs when there is a Focus on a particular change or goal We harness the client s own ideas and feelings about why and how they might do it. Miller, William R.; Rollnick, Stephen P. (2012)

14 Developing a commitment to change Formulating a concrete plan of action Miller, William R.; Rollnick, Stephen P. (2012)

15 OARS Open-ended questions Affirming statements Reflections Summarizations Motivational Interviewing, Miller and Rollnick, 1991

16 Open-ended questions Reflective Listening Affirm Summarize Listen for and reinforce change talk Motivational Interviewing, Miller and Rollnick, 1991

17 Client identifies-- Disadvantages of the status quo Advantages of change Optimism for change Intention to change (aka Commitment Talk) Motivational Interviewing, Miller and Rollnick, 1991

18 Expert trap Closed-ended questions Taking sides Labeling trap Premature focus Blaming trap Motivational Interviewing, Miller and Rollnick, 1991

19 1. Ordering, directing, or commanding 2. Warning, cautioning or threatening 3. Giving advice, making suggestions, or providing solutions 4. Persuading with logic, arguing or lecturing 5. Telling people what they should do; moralizing 6. Disagreeing, judging, criticizing, or blaming 7. Agreeing, approving, or praising 8. Shaming, ridiculing, or labeling 9. Interpreting, or analyzing 10. Reassuring, sympathizing, or consoling 11. Questioning or probing 12. Withdrawing, distracting, humoring, or changing the subject. Miller & Rollnick (2013)

20 Stress is a major trigger Survival system activated Stress-tolerance, adaptive emotional coping and resiliency decrease as prefrontal lobe activity decreases Decreased access to reason, rational thinking, values, ability to weigh consequences vs. benefits Stress/anxiety can be both a consequence and a trigger for hypomania and depression Impulsivity/compulsivity can increase Motivational Interviewing, Miller and Rollnick, 1991

21 Blaming Placating Passive Aggressive vs. Straightforward Super Reasonable Irrelevant

22 Following Listening predominates ex. Patient in tears following delivery of bad news Guiding A good guide knows what is possible and can offer you alternatives from which to choose. Directing Implies an uneven relationship; sometimes this approach saves lives.

23 Natural Tendency as Helpers (and support team/encouragers Persuade Counsel Argue for Change Provide Alternative Solutions ( fix ) Inhibit the righting reflex Motivational Interviewing, Miller and Rollnick, 1991

24 Many benefits of integrating MI into everyday communication Follow-through from assessment to attendance (and your support of these activities) Increase in self-generated investment in wellness & wellness maintenance & thus self-efficacy Reduction of support system distress (exhaustion) Fosters harm reduction and likelihood of return to treatment if interrupted or disrupted

25 Miller, William R., & Rollnick, Stephen. (2013). Motivational Interviewing: Helping People Change 3 rd edition) Motivational Interviewing in Health Care, Helping Patients Change Behavior (Rollnick, Miller, Butler, 2008) Motivational Interviewing: Preparing People for Change (2 nd edition) (Miller/Rollnick) (April 2002) Burke, B.L., Arkowitz, H., & Menchola, M. (2003). The efficacy of motivational interviewing: A meta-analysis of controlled clinical trials. Journal of Consulting and Clinical Psychology, 71, Lundahl, B.W., Tollefson, D., Kunz, C., Brownell, C., & Burke, B. (in press). Metaanalysis of Motivational interviewing: Twenty five years of research. Research on Social Work Practice. Vasilaki, E., Hosier, S., & Cox, W. (2006). The efficacy of motivational interviewing as a brief intervention for excessive drinking: A meta- analytic review. Alcohol and Alcoholism, 41,

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: 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

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 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

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

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

Brief Intervention Stages of Change and Motivational Interviewing

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

More information

MOTIVATIONAL INTERVIEWING. 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

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

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

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

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

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

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

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

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

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

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

MOTIVATIONAL INTERVIEWING QUESTIONNAIRE

MOTIVATIONAL 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 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

Patients are still addicted Buprenorphine is simply a substitute for heroin or

Patients are still addicted Buprenorphine is simply a substitute for heroin or BUPRENORPHINE TREATMENT: A Training For Multidisciplinary Addiction Professionals Module VI: Myths About the Use of Medication in Recovery Patients are still addicted Buprenorphine is simply a substitute

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 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

Co-Occurring Substance Use and Mental Health Disorders. Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs

Co-Occurring Substance Use and Mental Health Disorders. Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs Co-Occurring Substance Use and Mental Health Disorders Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs Introduction Overview of the evolving field of Co-Occurring Disorders Addiction and

More information

Methamphetamine Behavioral Treatments

Methamphetamine 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 information

VIETNAMESE AND AMERICANS IN PARTNERSHIP TO FIGHT HIV/AIDS

VIETNAMESE 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 information

Change Plan Worksheet

Change 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 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

Foundation 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 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 information

USING MOTIVATIONAL INTERVIEWING IN SUBSTANCE ABUSE TREATMENT

USING 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 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

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

Suggested APA style reference:

Suggested 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 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

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

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 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

FOCUS ON INTEGRATED TREATMENT COURSE OBJECTIVES

FOCUS ON INTEGRATED TREATMENT COURSE OBJECTIVES FOCUS ON INTEGRATED TREATMENT COURSE OBJECTIVES INDEX FIT The Complete Program Pages 2-6 FIT Complete Clinician Collection Pages 7-11 FIT Screening & Assessment Page 12 FIT Motivational Interviewing Page

More information

QUIK FIX p1. Treatment Manual

QUIK 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 information

Assertive Communication

Assertive Communication Using assertive communication is an important part of recovery from drugs and alcohol. Being assertive can help you express your opinions and feelings, make requests of others and respond to requests of

More information

Motivational Interviewing Techniques for Brief Intervention.

Motivational 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 information

What are Observation skills

What 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 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

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

Family Therapy and Substance Abuse Treatment Post Test

Family Therapy and Substance Abuse Treatment Post Test Family Therapy and Substance Abuse Treatment Post Test Following your reading of the course material found in TIP No. 39. Please read the following statements and indicate whether each is true or false.

More information

Assessing Health, Promoting Wellness. Recommended Practices: Motivational Interviewing

Assessing 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

CASE A: Caroline. You are an 18 year old woman coming in for a check-up prior to starting college. Your mother is in the waiting room.

CASE A: Caroline. You are an 18 year old woman coming in for a check-up prior to starting college. Your mother is in the waiting room. Adolescent Role Part 1 You are an 18 year old woman coming in for a check-up prior to starting college. Your mother is in the waiting room. If your PCP screens you for substance use in the past year: You

More information

Section 3 One-On-One Smoking Cessation Intervention

Section 3 One-On-One Smoking Cessation Intervention Section 3 One-On-One Smoking Cessation Intervention Introduction...3-3 Chapter 1 - The Intervention Process Types and Benefits of One-On-One Interventions...3-5 The Intervention Process An Overview...3-6

More information

Overview of Dual Diagnosis Treatment. John Rodolico, Ph.D. McLean Hospital Harvard Medical School

Overview of Dual Diagnosis Treatment. John Rodolico, Ph.D. McLean Hospital Harvard Medical School Overview of Dual Diagnosis Treatment John Rodolico, Ph.D. McLean Hospital Harvard Medical School Training Objectives Introduction and Spirit of Motivational Interviewing Understand the Foundation of MI

More information

Mediation Skills in Conflict Resolution

Mediation 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 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

Chapter 8. Strengths and Evidence Based Helping Strategies

Chapter 8. Strengths and Evidence Based Helping Strategies Chapter 8 Strengths and Evidence Based Helping Strategies Traditional Two Approaches to Treatment Bio Looks to individual for cause Dichotomy: Alcoholic vs nonalcoholic Psycho Problem focused Labels: alcoholic

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

Helper, Help Thyself!

Helper, Help Thyself! Helper, Help Thyself! Strategies to Maintain Balance W. Bryce Hagedorn, PhD, LMHC, NCC, MAC So where are we going? So why do you want to be a counselor? A primer on stress Transference/Countertransference

More information

"Removing Barriers: Dual Diagnosis Treatment and Motivational Interviewing"

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 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

Section 11. Giving and Receiving Feedback

Section 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 information

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

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

More information

Executive Summary and Recommendations

Executive 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 information

TIPS FOR SUPERVISORS

TIPS FOR SUPERVISORS TIPS FOR SUPERVISORS IDENTIFYING AND ASSISTING TROUBLED EMPLOYEES The HRS WorkLife Programs, Employee Assistance Program (EAP) is designed to aid staff members in seeking professional assistance to resolve

More information

STEP ONE: SET BOUNDARIES AND PRACTICE HARM REDUCTION FOR YOURSELF AND YOUR CHILDREN

STEP ONE: SET BOUNDARIES AND PRACTICE HARM REDUCTION FOR YOURSELF AND YOUR CHILDREN (back to the HAMS home page) HOW TO CHANGE YOUR SPOUSE'S DRINKING Only the soft overcomes the hard, by yielding, bringing it to peace. --Lao Tze If you have a spouse with a drinking problem then it is

More information

Session Seven - Problem-Solving Skills for Families

Session Seven - Problem-Solving Skills for Families 105 Session Seven - Problem-Solving Skills for Families Materials Needed: Handout L: Problem-Solving Skills As the popular bumper sticker says, Stuff happens. Problems are an inevitable part of life, and

More information

Ethical Principles for Abortion Care

Ethical Principles for Abortion Care Ethical Principles for Abortion Care INTRODUCTION These ethical principles have been developed by the Board of the National Abortion Federation as a guide for practitioners involved in abortion care. This

More information

Brief Intervention and Motivational Interviewing Tool

Brief 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 information

Counsel Subordinates TSG 158-100-1260

Counsel Subordinates TSG 158-100-1260 Counsel Subordinates TSG 158-100-1260 4 August 2003 Task(s) TASK NUMBER TASK TITLE Taught or 158-100-1180 Develop Subordinate Leaders in a Squad Supported 158-100-1271 Develop Subordinate Leaders in a

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

Substance Use Services and Supportive Housing

Substance Use Services and Supportive Housing Substance Use Services and Supportive Housing Organizations working in supportive housing will find it necessary to address issues of alcohol and illegal drug use among the tenancy. Although alcohol and

More information

Evaluation of Practicum Student Competencies SIU Counseling Psychology Program

Evaluation of Practicum Student Competencies SIU Counseling Psychology Program Evaluation of Practicum Student Competencies SIU Counseling Psychology Program Student Agency Focus: Career Personal Other: Supervisor Semester (eg, SP-3 rd year) The following evaluation items reflect

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

CHAPTER. What is Drug Addiction Counseling?

CHAPTER. What is Drug Addiction Counseling? CHAPTER 2 What is Drug Addiction Counseling? Unit 2.1: Introduction to General Counseling 15 Unit 2.2: Basic Concepts of Drug Addiction Counseling 33 Unit 2.3: Key Principles in Drug Addiction Counseling

More information

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

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

More information

A Nurse-Delivered Brief Motivational Intervention for. Women Who Screen Positive for Tobacco, Alcohol, or Drug Use

A 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 information

MASSACHUSETTS TOBACCO TREATMENT SPECIALIST TRAINING

MASSACHUSETTS TOBACCO TREATMENT SPECIALIST TRAINING University of Massachusetts Medical School MASSACHUSETTS TOBACCO TREATMENT SPECIALIST TRAINING Course Description Goals and Learning Objectives 1 2012 55 Lake Avenue North, Worcester, MA 01655 www.umassmed.edu/tobacco

More information

Nicotine Recovery The Brain

Nicotine Recovery The Brain A Clinician s Guide Nicotine Recovery The Brain Nicotine activates, saturates and desensitizes dopamine pathway receptors, which is followed by the growth or activation of millions of extra receptors (up-regulation).

More information

Motivational Enhancement Therapy with Drug Abusers. William R. Miller, Ph.D.

Motivational Enhancement Therapy with Drug Abusers. William R. Miller, Ph.D. i Updated: 10/26/95 Motivational Enhancement Therapy with Drug Abusers William R. Miller, Ph.D. Department of Psychology and Center on Alcoholism, Substance Abuse, and Addictions (CASAA) The University

More information

Personal Action / Crisis Prevention Plan

Personal Action / Crisis Prevention Plan Personal Action / Crisis Prevention Plan This Plan is meant to help clients/consumers, their support persons and providers prepare for times when life seems too hard to manage. This Plan is designed to

More information

INSIGHT: Alcohol and Other Drug Training and Education Unit. Induction Module 3 Micro-counselling Skills

INSIGHT: Alcohol and Other Drug Training and Education Unit. Induction Module 3 Micro-counselling Skills INSIGHT: Alcohol and Other Drug Training and Education Unit Induction Module 3 Micro-counselling Skills 2013 Published by InSight: Alcohol and Other Drug Education and Training Unit, Metro North Mental

More information

MODULE 1.3 WHAT IS MENTAL HEALTH?

MODULE 1.3 WHAT IS MENTAL HEALTH? MODULE 1.3 WHAT IS MENTAL HEALTH? Why improve mental health in secondary school? The importance of mental health in all our lives Mental health is a positive and productive state of mind that allows an

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

The Stages of Change Stage One: Precontemplation Stage Two: Contemplation

The Stages of Change  Stage One: Precontemplation Stage Two: Contemplation The Stages of Change The stages of change are: Precontemplation (Not yet acknowledging that there is a problem behavior that needs to be changed) Contemplation (Acknowledging that there is a problem but

More information

Arkansas State PIRC/ Center for Effective Parenting

Arkansas State PIRC/ Center for Effective Parenting How to Effectively COMMUNICATE With Your Child Talk between parents and children is very important, if for no other reason than it is relatively rare when compared to the other activities that today s

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

We welcome your comments and suggestions for improvement!

We 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 information

TEST QUESTIONS FOR CM Home Study Course Drug Treatment: II Course Code: DTB

TEST QUESTIONS FOR CM Home Study Course Drug Treatment: II Course Code: DTB TEST QUESTIONS FOR CM Home Study Course Drug Treatment: II Course Code: 8 Contact Hours for CRC, CCM, CDMS, and NBCC 8 Contact Hours for California RN Continuing Education No partial credit will be given

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

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

NATIONAL PROFILES FOR CLINICAL PSYCHOLOGISTS, COUNSELLORS & PSYCHOTHERAPISTS CONTENTS

NATIONAL PROFILES FOR CLINICAL PSYCHOLOGISTS, COUNSELLORS & PSYCHOTHERAPISTS CONTENTS NATIONAL PROFILES FOR CLINICAL PSYCHOLOGISTS, COUNSELLORS & PSYCHOTHERAPISTS CONTENTS Profile Title AfC Banding Page Reviewed profiles for Clinical Psychology with previous labels and publication date

More information

The Counselor as a Person and as a Professional

The Counselor as a Person and as a Professional Self-Awareness The Counselor as a Person and as a Professional Chapter 2 Psychology 475 Professional Ethics in Addictions Counseling Listen to the audio lecture while viewing these slides Without a high

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

SPECIALIST ARTICLE A BRIEF GUIDE TO PSYCHOLOGICAL THERAPIES

SPECIALIST ARTICLE A BRIEF GUIDE TO PSYCHOLOGICAL THERAPIES SPECIALIST ARTICLE A BRIEF GUIDE TO PSYCHOLOGICAL THERAPIES Psychological therapies are increasingly viewed as an important part of both mental and physical healthcare, and there is a growing demand for

More information

Virtual Child Written Project Assignment. Four-Assignment Version of Reflective Questions

Virtual 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 information

Change Leadership: A Boot Camp to Drive Organizational Change

Change Leadership: A Boot Camp to Drive Organizational Change Change Leadership: A Boot Camp to Drive Organizational Change Presented by: Rachel Schaming Radiology Ltd. Tucson, AZ 520.705.2889 Email: Rachel.Schaming@radltd.com Your Perceptions of Change What are

More information

Theories of Behavior Change

Theories of Behavior Change Theories of Behavior Change Defining Theories of Behavior Change Behavior change is often a goal for staff working directly with constituents, organizations, governments, or communities. Individuals charged

More information

Co-Occurring Disorders

Co-Occurring Disorders Co-Occurring Disorders PACCT 2011 CAROLYN FRANZEN Learning Objectives List common examples of mental health problems associated with substance abuse disorders Describe risk factors that contribute to the

More information

Course Syllabus PASTORAL COUNSELING AND CRISIS INTERVENTION PAST 0741/COUN 0683 FALL 2009 THURSDAYS 8:30 11:45

Course Syllabus PASTORAL COUNSELING AND CRISIS INTERVENTION PAST 0741/COUN 0683 FALL 2009 THURSDAYS 8:30 11:45 Course Syllabus PASTORAL COUNSELING AND CRISIS INTERVENTION PAST 0741/COUN 0683 I. COURSE DESCRIPTION FALL 2009 THURSDAYS 8:30 11:45 INSTRUCTOR: HELEN NOH, PH.D 647-588-2975 Email: helensnoh@gmail.com

More information

Module 9. Building Communication Skills

Module 9. Building Communication Skills Module 9 Building Communication Skills Essential Ideas to Convey To apply a facilitative approach to supervision, supervisors have to approach the people they manage in a different way, by using certain

More information

Your intern rolls her eyes.

Your intern rolls her eyes. Case Your intern admitted a patient with pneumonia and symptoms of heroin withdrawal. She did a very cursory workup, and did not treat the patient s withdrawal symptoms at all. When you question her, she

More information

Objectives Participants will be able to: Conflict of Interest Disclosure. Author s Conflicts of Interest: E. Bernhofer, No Conflict of Interest

Objectives Participants will be able to: Conflict of Interest Disclosure. Author s Conflicts of Interest: E. Bernhofer, No Conflict of Interest September 19, 2015 ASPMN 25th National Conference Esther I. Bernhofer, PhD, RN-BC Senior Nurse Researcher Pain Education Specialist Office of Nursing Research and Innovation Cleveland Clinic Conflict of

More information

Addiction Counseling Competencies. Rating Forms

Addiction Counseling Competencies. Rating Forms Addiction Counseling Competencies Forms Addiction Counseling Competencies Supervisors and counselor educators have expressed a desire for a tool to assess counselor competence in the Addiction Counseling

More information

Mental Health/Substance Abuse Resources (2-2015 Rick Ministry research)

Mental Health/Substance Abuse Resources (2-2015 Rick Ministry research) Waukesha County Health and Human Services A brief summation of WCH & HS Process: They do provide both services in the area of Mental Health and Substance Abuse. These service are not free, the cost is

More information