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Title:

Motivational Interviewing

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Focus- To increase motivation for a specific behavior and ... Not dismissed and labeled as denial and unmotivated. MI Philosophy. Individual decision to change! ... – PowerPoint PPT presentation

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Title: Motivational Interviewing


1
Motivational Interviewing
  • Health Promotion Program
  • Navy Environmental Health Center

2
Motivational Interviewing
  • Goal- To enhance and strengthen motivation for
    change!
  • Focus- To increase motivation for a specific
    behavior and lifestyle change!

3
Motivational Interviewing
  • Used by
  • -Medical Dental Staff
  • -Health Promoters
  • -Educators
  • -Mental Health
  • -Substance Abuse
  • Based upon clinical intervention studies

4
Behavior Change
  • Difficult to give up and change entrenched and
    harmful behaviors!
  • Ambivalence is common
  • Low motivation present for difficult changes

5
Changing Behavior
  • Often we respond to resistance with
    confrontation
  • Confrontation often leads to increased
    resistance, conflict and arguments
  • Confrontation is often counterproductive and not
    helpful!

6
Motivational Interviewing
  • A new model of helping people change their
    behavior!

7
Motivational Interviewing
  • Reconceptualize ambivalence
  • See resistance and ambivalence as a normal part
    of change process and as a typical roadblock!
  • Not dismissed and labeled as denial and
    unmotivated

8
MI Philosophy
  • Individual decision to change!
  • Freedom to alter and modify harmful and unhealthy
    behaviors!

9
Motivational Interviewing
  • Motivation is elicited from the client/patient
  • It is up to the client to express and resolve
    their ambivalence!
  • Direct arguing/persuading is not an effective
    strategy for resolving ambivalence!
  • Therapeutic relationship is a partnership

10
MI Approach
  • Active, not passive stance!
  • Caring and warm approach!
  • Listening

11
MI is NOT
  • The answer for every person and all ambivalence
    and resistance!
  • The only intervention for every one you see
  • A replacement for your experience, training
    judgment

12
MI Skills
  • Establish rapport
  • Show acceptance
  • Listening Skills
  • Way questions asked can effect responses!

13
MI Strategies
  • Reflective Listening
  • Express Empathy
  • Develop Discrepancy

14
MI Strategies
  • Roll with Resistance
  • Support Self Efficacy- Reinforce expectation and
    belief that they can change!

15
Common Roadblocks
  • Labeling trap
  • Blaming trap
  • Question Answer trap
  • Confrontation-Resistance- Denial Trap

16
MI Summary
  • Purpose is to encourage and assist with
    individual behavior change!
  • The readiness to change a specific and problem
    behavior often varies and fluctuates.

17
Additional Information
  • Website
  • http//www.motivationalinterview.org
  • Motivational Interviewing. William Miller
    Stephen Rollnick, 2002. Second Edition.
    Guilford Publications.
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