Motivating for Change April 2015 Butler Institute for Families

Motivating for Change

Expanding What We Know

Presented by:Missy Berglund

Butler Institute for Families,University of Denver

Motivating for Change April 2015 Butler Institute for Families

Before we start

• Please take a moment to answer the following questions on your first handout.

– A technique I have had success with

– A technique I want to enhance or have questions about is

– One way my agency can support my further development of these skills is by.

Motivating for Change April 2015 Butler Institute for Families

Welcome!

• Introductions

– Find someone you don’t know, engage them around the three questions using your OARS, then switch roles.

Motivating for Change April 2015 Butler Institute for Families

Stages of MI

• Engaging -

Motivating for Change April 2015 Butler Institute for Families

Stages of MI

• Focusing -

Motivating for Change April 2015 Butler Institute for Families

Stages of MI

• Evoking -

Motivating for Change April 2015 Butler Institute for Families

Stages of MI

• Planning -

Motivating for Change April 2015 Butler Institute for Families

POP QUIZ!

Motivating for Change April 2015 Butler Institute for Families

Motivational Interviewing Techniques

Express Empathy

Support Self-Efficacy

Roll With Resistance

Develop Discrepancy

Open-Ended Questions

Affirmations

Reflective Listening

Motivating for Change April 2015 Butler Institute for Families

Motivational Techniques

Evoking

Motivating for Change April 2015 Butler Institute for Families

Responding to Change Talk

Motivating for Change April 2015 Butler Institute for Families

Ten Strategies for Evoking Change Talk

• Ask Evocative Questions

• Ask for Elaboration

• Ask for Examples

• Look Back

• Look Forward

• Query Examples

• Use Change Ruler

• Explore Goals and Values

• Come Alongside

• Decisional Balance

Motivating for Change April 2015 Butler Institute for Families

Motivational Techniques

Planning

Motivating for Change April 2015 Butler Institute for Families

Planning

• There is a negotiation of change goals and plans, an exchange of information, and usually a specification of next steps that may or may not involve further treatment. It is common for progress and motivation to fluctuate, inviting renewal of planning, evoking, refocusing, or even re-engagement

Motivating for Change April 2015 Butler Institute for Families

Key Points to Planning

• Developing the plan is the _________, not the ________ _______.

• Implementation intentions involve both a _________ ________and the intention or commitment to______ ___ ____.

• Public commitment, _______ ______, and self- monitoring can ___________ the best of intentions.

Motivating for Change April 2015 Butler Institute for Families

Informing and Advising

• In MI, providing information and advising is appropriate, with two considerations:

1. Information and advice are ________ _____ ___________

2. 2. The goal for the counselor is to ___________ the client’s perspective of the topic, their needs, and to facilitate the client drawing their own ___________ about the ____________of any information provided

Motivating for Change April 2015 Butler Institute for Families

Exchanging Information

• Practitioners often overestimate the amount of information clients need It is unhelpful to give clients information they already have (e.g., “smoking is bad for your health”)

• It is more useful to learn what they know, what they’ve already done or tried

Motivating for Change April 2015 Butler Institute for Families

Information Exchange

Principles of Good Practice

• Clients are the _____ _____ __________(using affirmations and reflections elicits a wealth of information) Find out what they know and need to know

• _________ ____________to clients needs

• Clients can tell you what ____ _____ ___________ would be helpful

• Advice _______ _________ clients needs is helpful

Motivating for Change April 2015 Butler Institute for Families

Elicit Provide Elicit

Motivating for Change April 2015 Butler Institute for Families

Ethnographic Interviewing

• Assists workers in gathering family-specific information for assessment and case planning.

• Helps professionals understand the parent’s point of view.

• Deals with cultural differences between worker and family.

• Demonstrates respect for family’s worldview.

Motivating for Change April 2015 Butler Institute for Families

Solution Focused Practice

Focus on the family’s strengths and abilities.

Find out what is working and do more of it.

Families have the resources for change.

Families generate workable solutions.

Change starts small and has a ripple effect.

Focus on the future when the problem has been solved.

Focus on when the problem is not a problem.

Motivating for Change April 2015 Butler Institute for Families

Stages of Solution Focused Interviewing

1. D

2. D

3. M

4. E

5. P

6. D

7. E