MOTIVATIONAL INTERVIEWING PART 1 Darlene Brace-Torres - - PDF document

motivational interviewing part 1
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MOTIVATIONAL INTERVIEWING PART 1 Darlene Brace-Torres - - PDF document

6/4/2019 MOTIVATIONAL INTERVIEWING PART 1 Darlene Brace-Torres Dar.Brace@gmail.com www.facebook.com/DarleneBraceLCSW.LAC/ darlenebrace.webs.com WELCOME OVERVIEW INTRODUCTION 1 6/4/2019 WHAT IS MOTIVATIONAL INTERVIEWING Guidelines


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MOTIVATIONAL INTERVIEWING PART 1

Darlene Brace-Torres

Dar.Brace@gmail.com www.facebook.com/DarleneBraceLCSW.LAC/ darlenebrace.webs.com

WELCOME OVERVIEW INTRODUCTION

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  • Guidelines
  • Respect
  • Confidentiality

WHAT IS MOTIVATIONAL INTERVIEWING ACTIVITY

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CONTINUUM OF COMMUNICATION STYLES

Directing Guiding Following

MOTIVATIONAL INTERVIEWING IS A COLLABORATIVE COMMUNICATION STYLE FOR STRENGTHENING A PERSON’S OWN MOTIVATION AND COMMITMENT TO CHANGE

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THE SPIRIT OF MI

Partnership Acceptance Compassion Evocation

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  • Why would you want to make this change?
  • If you did decide to make this change, how

might you go about it in order to succeed?

  • What are the three best reasons for you to do

it?

  • How important would you say it is for you to

make this change?

  • Give a summary back.
  • So what do you think you’ll do??

PERSON CENTERED

  • Our services exist to benefit the

people we serve.

  • Change is fundamentally self-change.
  • People are experts on themselves.
  • We don’t have to make things

happen.

  • We don’t have to know all the good

ideas.

  • People have their own strengths,

motivations, and resources that are vital to activate in order for change to occur.

  • Change is not a power struggle.
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MI PRINCIPLES

Develop Discrepancy D Employ Empathy E Avoid Argumentation A Roll with Resistance R Support Self Efficacy S TRAPS

Question- Answer Labeling Premature Focus Taking Sides Blaming Expert Pacing & Timing Chatting

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MI SKILLS- OARS +IA

Open ended Questions & Invitations Affirmations Reflections Summaries Information Advice with permission

OPEN ENDED QUESTIONS AND INVITATIONS

  • What?
  • How?
  • Who? (can help)
  • Tell me _____
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AFFIRM THE CLIENT

  • AVOID “I” statements
  • Caring for your children is important to

you

  • It shows commitment to __________
  • You have good ideas.
  • You tried really hard this week.

REFLECTIONS

  • 1. Listen carefully.

Form a hypothesis.

  • 2. Form
  • reflection. Try
  • ut your guess.
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REFLECTIONS

  • Types of Reflections:

– Simple – Amplified – Double-sided

  • Levels of Reflections:

– Repeat – Rephrase – Paraphrase – Reflect Feeling

SUMMARY

  • 1. Communicate that you have tracked what the client is

saying.

  • 2. Bring structure to session if getting off topic
  • 3. Opportunity to emphasize certain elements.
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INFORMATION AND ADVISE W/PERMISSION

  • I have some

information on that, would you mind if I shared it with you?

  • Other clients have told

me ……

  • Here are some options

PRACTICE

  • Get into your pair
  • Switch roles
  • Pick something you feel

ambivalent about

  • Practice OARS
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STAGES OF CHANGE