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Title:

Motivational Interviewing

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18-1. Motivational Interviewing. 18-2. Objectives. Participants will: ... and referral to specialized treatment using motivational interviewing techniques ... – PowerPoint PPT presentation

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Title: Motivational Interviewing


1
Motivational Interviewing
2
Objectives
  • Participants will
  • increase their skills to provide advice and
    referral to specialized treatment using
    motivational interviewing techniques

3
Five Principles
  • Express empathy
  • Develop discrepancy
  • Avoid argument
  • Roll with resistance
  • Support self-efficacy

4
Stages of Change
5
Prochaska DiClemente Stages of Readiness to
Change
18-5
Stage Description Counseling
Objectives Pre-contemplation Not considering
change u Identify patients goals
u Provide
information
u Bolster self-efficacy Contemplation Ambival
ent about change u Develop discrepancy between
goal behavior
u Elicit self-motivational statements Determi
nation Cognitively committed to u Strengthen
commitment to change change
u Plan strategies for
change Action Involved in
change u Identify and manage new
barriers u
Recognize relapse or impending relapse Maintenanc
e Behavior change is stable u Assure
stability of change
u Foster personal development Relapse
Undesired behaviors occur u Identify
relapse u
Reestablish self-efficacy and commitment
u Develop new
behavioral strategies Termination Change
is very stable u Assure stability of change
6
Stage 1 Pre-Contemplation(Patient not ready for
change)
  • Barrier - Lack of information
  • Assess patients understanding
  • Assess patients receptivity to new information
  • Deliver information
  • Assess patients reaction

7
Stage 1 Pre-Contemplation(Patient not ready for
change)
  • Barrier - Low self-efficacy
  • Explore origins of low self-efficacy
  • Assess for reasons for relapse
  • Assess for personal strengths
  • Treat or refer any underlying psychiatric
    disorder or family dysfunction

8
Stage 1 Pre-Contemplation(Patient not ready for
change)
  • Barrier - Contentment with the present
  • Solicit patients views on beneficial aspects of
    the behavior
  • Ask patient about less beneficial aspects of the
    behavior
  • Explore patients goals
  • Discuss compatibility between behavior and goals

9
Stage 2 Contemplation(Patient thinking about
change)
  • Express empathy
  • Develop discrepancy
  • Avoid argumentation
  • Roll with resistance
  • Support self-efficacy

10
Stage 3 Determination(Patient made decision to
change)
  • Strengthen commitment to change
  • Plan strategies for change
  • Make statements of partnership
  • Arrange follow-up

11
Stage 4 Action(Patient involved in change)
  • Review effectiveness of previous strategies for
    change
  • Positive strategies
  • Improvements for strategies
  • New or future challenges
  • Dealing with current and future challenges
  • Statements of partnership
  • Arrange follow-up

12
Stage 5 Maintenance(Patient has made changes)
  • Ensure stability of change
  • Identify goals for personal development
  • Plan for progressing toward personal goals

13
Stage 6 Relapse(Patient has relapsed)
  • Reinforce normalcy of relapse
  • Bolster self-efficacy
  • Identify reason(s) for relapse
  • Re-frame relapse as learning experience
  • Restage the patient

14
Stage 7 Termination
  • Assure stability of change
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