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Motivational Interviewing

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Elicits motivation- it focuses on intrinsic motivators through recognition of ... Creating a 'motivation' for change. Current Goal. Situation ... – PowerPoint PPT presentation

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Title: Motivational Interviewing


1
Motivational Interviewing
  • Presented by Nick Alenkin,MSSW
  • PHLAG Conference Call
  • October 23, 2007

2
Presentation Overview
  • Define Motivational Interviewing (M.I.)
  • Key Components of M.I.
  • Creating Change In Consumers
  • Case Example
  • Discussion

3
Motivational Interviewing
  • Client-centered, directive method for enhancing
    intrinsic motivation to change by exploring and
    resolving ambivalence (Miller Rollnick, p.
    25).
  • We look to the individual to recognize their own
    current situation and align ourselves with them
    to create change.

4
Key Components of M.I.
  • Person-Centered- it focuses on the individual and
    their agenda, not ours.
  • Directive- it focuses on the dynamics of
    ambivalence(maybe) and incorporates change
    talk.
  • Non-technical- it focuses on communication with
    our consumers not on a technique (e.g.,CBT).

5
Key Components of M.I.(cont.)
  • Elicits motivation- it focuses on intrinsic
    motivators through recognition of current life
    situations.
  • Value-driven- it focuses on the values and
    concerns for change.

6
Stages of Change
  • Veterans Role Workers Role
  • Pre-contemplation (Pros and Cons)
  • What problem? Some benefits are
  • Contemplation (Reason for Change)
  • Tell me more I can help you with
    this
  • Preparation (Educate on Change)
  • I have gathered my resources Here are some
    options

7
Stages of Change
  • Veterans Role Workers Role
  • Action (Supporting Change)
  • Ive met with my therapist What
    else can I do?
  • Maintenance (Connecting to Change)
  • I can see a difference Keep up the good
    work
  • Relapse (Reflecting on Change)
  • Did I fail? Change can be hard

8
Eliciting Change Talk
  • Creating a motivation for change
  • Current Goal
  • Situation
  • We move the veteran to their goal through
  • Collaboration with them
  • Eliciting their values, perceptions, and goals
  • Affirming their right to make choices and accept
    outcomes

9
Creating a Success Plan
  • Success Map
  • My current situation is
  • I would like to be ___________ in
    ____________(days, weeks, etc).
  • Two goals I have are 1)
  • 2)
  • I plan to incorporate the following to reach my
    goals
  • (Action) (By this date)
  • Other people that can help me with the goal are
  • Some of the areas which may impact my goal(s)
    are
  • I know when I have been progressing in my goal or
    am successful when I

10
Case Study
  • David has been coming to group for the last 3
    weeks, he has non-service connected benefits at
    this time. He reports a homeless history of the
    last 3 years. His last living situation was with
    a roommate 3 years ago for which he left, When
    we couldnt get along. He reports applying for
    housing but is not able to secure anything. He
    reports, What gives, I think Im doing the right
    thing here?
  • What other information would be pertinent for you
    to secure from David?
  • What in what stage is he in?
  • How can you elicit change talk with David?

11
Discussion/References
  • References
  • http//www.motivationalinterview.org/
  • DiClemente, C. C. and J. O. Prochaska (1985).
    Processes and stages of self-change Coping and
    competence in smoking behavior change. Coping and
    Substance Use. S. Shiffman and T. A. Wills. New
    York, Academic Press.
  • Miller, W. Rollnick, S. (2002). Motivational
    Interviewing (2n Ed.) Preparing People for
    Change. NYGuilford Press.
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