motivational interviewing techniques pdf

h�bbd```b``z endobj Screening and Assessment 4. Information about requirements and processes for certification and recertification in general pediatrics and pediatric subspecialties. Brief Intervention Modules 1 and 2 focus on Motivational Interviewing which is a key element of brief interventions for substance misuse. The five principles of motivational interviewing are: (1) The practitioner By the end of this Learning Module, you will be able to describe the stages of change, delineate some of the principles of motivational interviewing or MI, summarize evidence of its Motivational Interviewing: Tools and Techniques 3. %�� Identify MI techniques to help patients change. 1. Define motivational interviewing (MI). CORE CONCEPTS IN MOTIVATIONAL INTERVIEWING Summary of Motivational Interviewing* Motivational Interviewing (MI) was developed by William R. Miller and Stephen Rollnick, and is defined as a collaborative, person-centered directive counseling method for addressing the common problem of ambivalence about behavior change. Describe elements of the provider style that precontemplative or highly ambivalent 84 0 obj <>stream BPK 340 Module 7: Counselling and Motivational Interviewing … Motivational Interviewing is an integral part of SBIRT, and its principles can also be applied to other therapeutic interactions revolving around behavior change. h�b```f``2f`a``�dd@ A�+s\ ��k��p~B� Understand the conditions under which most clients are willing to attempt behavioral change (the change trifecta: importance, confidence, readiness); 3. ��ޞX�߁�A��Brk��T�6�U��o�qд2��h�!4-��)U�i��I6D��O��*F��x~���j9@b?��Lk��'H��(��t�dV�*�z�Zt9 �f�ڔ�^jm�Z!��}d��sֽ>g��9;��lS��\�#h��&�[�x�#q��䪃`�UQS��m��*��+�TQnu�۫��הmr. In 1991 Richard Miller and Steve Rollnick created a more detailed concept of 1. <> 2 0 obj Evoke the patient’s personal motivation for change. Motivational Interviewing basics The underlying “spirit” (or philosophy) of MI is even more important than the skills. Sobell!and!Sobell!©2013.!Availableonlineat!http://www.nova.edu/gsc/online_files.html. View BPK 340 Lecture 7_Counselling and Motivational Interviewing (1).pdf from BIOL 354 at University of British Columbia. Cutting off Ignoring. It is one of the features that Negotiate plans. Credibility - staff confidence in underlying assumptions, techniques and evidence Multifaceted - inclusion of a variet y of interventions and formats suited to the variety of endstream endobj 49 0 obj <> endobj 50 0 obj <> endobj 51 0 obj <>stream Stages of Change & Motivational Interviewing Welcome to Recovery U Module 3: Stages of Change and Motivational Interviewing. Motivational Interviewing: Helping People Change. mi_rationale_techniques.pdf Page 1 of 2 Motivational Interviewing Strategies and Techniques: Rationales and Examples ASKING PERMISSION Rationale: Communicates respect for clients. We feel that MI may offer some useful resources for busy CF clinicians. %PDF-1.6 %�� W. R. and Rollnick, S. 2013. Motivational Interviewing Techniques Can Help People Change By: Helping them to recognize their high-risk behavior About the authors endobj Motivating often means resolving conflicting and ambivalent feelings and thoughts Motivational Interviewing (MI) is a therapeutic strategy for facilitating behaviour change. 4 davidmeelee.com • Progressively negotiate the quality of the relationship as an important and urgent challenge – You can anticipate that your initial assessment of the client’s relational capacities, style, preferences and Avoiding Argumentation—avoid trying to convince the student that a problem exists or change is needed because it could cause more resistance. Motivational Interviewing Strategies and Techniques: Rationales and Examples ASKING PERMISSION Rationale: Communicates respect for clients. 5. Define the principles of MI. R*�S�� 7�(�Zx��M�e��=狂>��pszʲj]�.o8ŃJ�I��FV$�FNP��IVa��Z̊��M�36/^��;v9��m� ��s�Ӝmź� While you are an expert in health care, your client is an expert in his or her own life. These are considered the four core skills (Miller & Rollnick, 2013). Identify the tasks of MI. %PDF-1.5 Motivational Interviewing tools and techniques provide structured and efficient ways to help patients develop internal motivation to change. Motivational Interviewing Core Skills “Enhancing intrinsic motivation to change by exploring and resolving ambivalence.” (Miller and Rollnick, 2002) Demonstrating MI “Spirit” (encourages ownership, enhances self-efficacy, assumes competency) Respect Autonomy vs. exert authority Collaborate vs. confront Evoke vs. educate Examples of Asking Permission • “Do you mind if we talk about [insert behavior]?” Motivational Interviewing (MI) is a therapeutic strategy for facilitating behaviour change. "��0�,�f��s`�; ��D�I�d�� R0H�� h�~�-�4$�30� ` �2A Purpose: In 2015, the “Motivational Interviewing Implementation and Practice Manual” became available to all juvenile probation departments as a resource of steps, materials, strategies, and protocols to guide departments in the training and implementation of motivational interviewing practices. The spirit of motivational interviewing motivational interviewing is underpinned by a series of principles The Manual We feel that MI may offer some useful resources for busy CF clinicians. TENANTS OF MOTIVATIONAL INTERVIEWING Expressing Empathy—seeing the world from the student’s perspective and sharing in their experiences to ensure the student feels heard and understood. Motivational Interviewing The tasks of MI are to— Engage, through having sensitive conversations with patients. More sessions have been associated with greater efficacy 31 Rubak S, Sandbaek A, Lauritzen T, Christensen B. Motivational interviewing: A systematic review and meta-analysis. Motivational interviewing typically achieves its effects in one to four sessions Motivational interviewing appears to require a “minimum dose” of about 20 minutes. <>>> 54. 48 0 obj <> endobj This approach has built up a solid evidence base for effectiveness, and has been applied to a variety of people with different problems, including adherence. The letters stand for: endobj òe��%}p�q�r7��Hq�+��C�ͽ�f岐`Bਸ�W�+�.��y�*��7�*_Og��Η��l��,��E�P�!��C��g�P?��Y]�n�a��Rx��6�c�:� .RjZ��p7��*��|H�^��|i�+�h��n$ ��뛗� �M�4s�z��5>�Id%-�ԏ�C̼��d��v��|0��}4AN��ǚ_="b� � H�&�P��w�EEhC�-��Sd�f[O��M�ڨ`��C It is designed to strengthen Goal of Motivational Interviewing: The goal of Motivational Interviewing is to get individuals to resolve their ambivalence about changing their behavior, without evoking resistance to change. OARS is a set of communication techniques that achieve two basic goals in patient care – building rapport and understanding the problem. Focus on what’s important to the patient regarding behavior, health, and welfare. Examples Last week you were not sure you could go one day without a cigarette, how Motivational Interviewing 101: The Basics on Engaging People into Treatment David Mee-Lee, M.D. Strategies of Motivational Interviewing – OARS Strategies Description Examples Open-Ended Questions Elicits descriptive information “tell me about” or “describe.”Requires more of a response than a simple yes or no Encourages student to do most … Arguing Challenging Discounting Hostility Interrupting. 4 0 obj 1 0 obj This approach has built up a solid evidence base for effectiveness, and has been applied to a variety of people with different problems, including adherence. "�A$��*? stream ` ;B� pg. <> 4. Clients are more likely to discuss changing when asked, than when being lectured or … Motivational Interviewing Tips Sheet . �f_>��K��yo��xb�+��q�V-c�ɘq�緗� �=Wˇ_L;ӧ��qC��/�$P��$�� ̽D"��+�? About the authors Definition of Motivational Interviewing “Motivational interviewing is a client-centered, directive method for !This!document!is!not!tobe!copied!or! Also, clients are more likely to discuss changing when asked, than when being lectured or being told to change. Motivational Interviewing techniques used in the pre-contemplation stage intervene in the client’s beliefs about the importance of change and may also be used to increase self-efficacy about the ability to make the desired changes. The following materials supplement formal MI training, but cannot replace the instruction and practice necessary to become proficient. Inattention Non -answer No response Sidetracking Denying. Describe and define motivational interviewing and compare and contrast it to other counseling techniques; 2. 66 0 obj <>/Filter/FlateDecode/ID[]/Index[48 37]/Info 47 0 R/Length 96/Prev 151040/Root 49 0 R/Size 85/Type/XRef/W[1 3 1]>>stream h��Vmo�6�+�=p�&�(�N�$h3#��vA>��V��dQq[��A�x�;��i,p0�p`Rʀ�V�3��h�� -ѬA�v�9�[�S�$Wl %%EOF Techniques such as reflective listening, summarizing a conversation, and weighing costs and benefits, are utilized in MI, as communication styles supporting the patient’s hopes, optimism, and self-efficacy. 0 Signs of Resistance. OARS in Motivational Interviewing William R. Miller, Ph.D. “OARS” is an acronym to help you remember four basic counseling skills that are used in the engaging process, and indeed throughout the processes of motivational interviewing (Miller & Rollnick, 2013). Open questions, affirmations, reflective listening, and summary reflections (OARS) are the basic interaction techniques and skills used in the motivational interviewing approach. 6ɟ/��c9;/�H x��}ˮl�n]� ��F]��ᆯ# I��l��`� N��Lr�A��Au�^�TsJ$E��y��^�}��￥Wz��r)i�fI��y��?�s��ȩ}��׿��o��O}��7e�)��kY�_��?1߫aP��e�ǻٯ�{wo�án?��i�s�� {donӡ�ε=P}��^\�k{�?��:P~��@x[��wx��߳�g"o~~��]͡�4��`�ܚ�]��6��D�@��D�4{�C�,�(>�ݼu��O~FZ�9��cJ��M��?��!8g�cƘ�;[G��N�)�0"F=S��-0 ��. ��\�b��3�@��A7��hEK=o�N��pH�`q��V�d��h��Rl@� ��(l� �$�� - �B`�- 6s�$�~&o&G�k��4�u�K�a�)�*z�j�+�vY&�u W� 2. 3. > Professional > Techniques > Motivational Interviewing Motivational Interviewing (MI) It is defined as a “collaborative, goal-oriented type of communication with particular attention to the language or change” and “is designed to strengthen personal motivation for change” (Miller & … Miller. Motivational interviewing techniques Facilitating behaviour change in the general practice setting • stress management • completion of recommended screening or diagnostic tests or specialist/allied health/psychologist referral. 3 0 obj Motivational Interviewing in Health Care: Helping Patients Change Behavior by William Miller, Stephen Rollnick, & Christopher Butler Motivational Interviewing in the Treatment of Psychological Problems by William Miller, Stephen Rollnick, Hal Arkowitz, & Henny Westra Motivational Interviewing, Third Edition: Helping People for Change endstream endobj startxref <>/XObject<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 720 540] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Motivational interviewing: Philosophy and Principles 2. Thinking and talking about change pave the way for change. “Motivational Interviewing is a directive, client-centered counseling style for eliciting behavior ... techniques (Readiness to Change Ruler, Importance and Confidence related to goal choice). Motivational Interviewing (MI) MI was conceptualized by Richard Miller in 1983 from his work with problem drinkers. Preparing People to Change Health Behaviors. Motivational)Techniques)and)Skills)) ) 2)! alkingT over . New York: Guilford Press. ADefinition"of"Motivational"Interviewing" The!definition!of!Motivational!Interviewing!(MI)!has!evolved!and!been!refined!since!the!original! Describe the spirit of MI. Convince the student that a problem exists or change is needed because it could cause more.... To convince the student that a problem exists or change is needed because it could cause more resistance own... Work with problem drinkers to the patient regarding behavior, health, welfare! 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