motivational interviewing week #1 - nfartec€¦ · week #1 motivational interviewing . week # 7 -...

Week #1

Motivational Interviewing

Week # 7 - Agenda

• ReviewLearningActivityfromWeek6

• Managingsustaintalk• IntentionalChangeTalk–Demonstration

• RecognizingReadinesstoChange

Week 6 Learning Activity - Discussion

What is Unique to MI?

• Intentionalevokingandreinforcementofchangetalk

• Strategic-directiveuseofreflectionsandsummary

• Sequencingofpreparatorychangetalk-DARN-CAT

4

MotivationalInterviewingwascreatedtoexploreandresolveambivalenceandtoincreasemotivationforchange.

• “Convincing”peoplewhoareambivalentcanbecounterproductive–theyrespondby:

• Arguing• Defending• GivingLipService• BecomingPassive

Guidingthemtoexploretheirowndesire,reasons,ability,andneedtochangeismoreeffective

Ambivalence

Sustain Talk and Change Talk

Sustain Talk - Discord - Change Talk

CHANGETALK

Desire

Ability

Reason

Need

Commitment

Action

TakingSteps

DISCORD

Wheredoesitcomefrom?Previousexperiences,communicationroadblocks,lackofengagementHowdoesitshowup?Arguing,Ignoring,Interrupting,DiscountingWhattodo–Reengage,EmphasizeAutonomy,Apologize,ShiftFocus

SUSTAINTALK"Ireallywanttoquitsmokingbuttherearetimeswhensmokingisreallygreat."SustainingCounselor:"Tellmemoreaboutwhatyougetoutofsmoking?"Counselorhearingchangetalk:"youreallywanttoquitsmoking,saymoreaboutthat."

Softening Sustain Talk

SUSTAINTALKWecancreatediscordbyrespondinginanMInon-adherentway.

Intentional Change Talk

RecognizingandReinforcingChangeTalkChangetalkandsustaintalkreflecttwosidesofaperson'sambivalenceaboutchanging.Theintentionalcounsellorunderstandsthatdifferenceandguidestheclientawayfromsustaintalkandtowardchangetalk,listeningespeciallyforstatementsthatshowcommitment.

IntentionalChangeTalkDemonstration

Recognizing Readiness to Change

IntheTOOLBOX

Week 7 Learning Activity

Howdoyouknowthereisenoughmotivationtobeginplanning?• Bringexamplesof:• Someonewhoisnotreadyforplanning.Why?Whatwouldyoudonext?• Someonewhoseisreadyforplanning-Whatistheindicationofreadiness?

•  Remembertouseyourjournaltodocumentyourcourseexperiences!

Toallofyou…

….andseeyouallnextweek!!

Gettingtoknowyou...Gettingtoknowyou...