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Motivational Interviewing

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Motivational Interviewing A Brief Introduction The Evolution of Motivational Interviewing Crisis Intervention Theory People have different levels of motivation. – PowerPoint PPT presentation

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Title: Motivational Interviewing


1
Motivational Interviewing
  • A Brief Introduction

2
The Evolution ofMotivational Interviewing
  • Crisis Intervention Theory People have
    different levels of motivation. It is much easier
    to help them when their motivation to make a
    change is high.

3
The Evolution ofMotivational Interviewing
  • The Transtheoretical Model Researchers
    discovered that people actually go through five
    separate stages in the change process and they
    move through these stages in different ways.

4
The Evolution ofMotivational Interviewing
  • Motivational Interviewing Perhaps we can
    develop therapeutic techniques that would help us
    to help people raise their motivation levels.
    This would, in turn, help them to get better.

5
Motivational Interviewing is one of the most
research-based treatment models ever developed
6
It is always necessary to use Motivational
Interviewing principles no matter what other
theoretical model you might use (CBT, DBT,
Rogerian, etc.)
7
Understanding Motivation
  • Ambivalence about change is normal
  • Change is often nonlinear
  • Readiness is not static
  • Attend to readiness in your work

8
Why the use of Motivational Interviewing is so
important
  • Each individual will be at a different point with
    their motivation to change
  • This is a perfectly normal part of being human
    we shouldnt treat somebody as being sick or
    wrong simply because they arent motivated to
    change as much as we believe that they should
    be

9
Why the use of Motivational Interviewing is so
important
  • It is the clinicians job to HELP the consumer
    with his or her motivation level
  • This process starts by learning to meet the
    consumer where he/she is at the time

10
Why the use of Motivational Interviewing is so
important
  • Many of our consumers feel hopeless about the
    possibility of recovery
  • It is our job to provide hope when the consumer
    has none!

11
How many people does it take to change a light
bulb?
  • Only one, but the light bulb must really want to
    change!

12
The most important Skill Sets for Motivational
Interviewing
  • Identifying the stage of change
  • Using the four foundational principles

13
The Stages of Change
  • At a minimum, all clinicians at Cummins will have
    a basic, working familiarity with the stages of
    change
  • But to truly master Motivational Interviewing,
    you need to be able to monitor the consumers
    stage of change constantly and adapt your
    approach accordingly.

14
The Stages of Change
  • Precontemplation
  • Contemplation
  • Preparation/Planning
  • Action
  • Maintenance

15
Four Foundational Principles
  • Express empathy
  • Develop discrepancy
  • Roll with resistance
  • Support self-efficacy

16
Of these four principles, Developing
Discrepancy is the one that actually gets things
resolved. And please notice that it is the
CONSUMER who resolves the discrepancy, not the
clinician.
17
This is an incrediblypowerful approach!
  • After all, the consumer is the one who stands to
    benefit from the change and is the one who will
    have to change the behaviors.
  • Therefore, it is only the consumers reasons for
    making the change that matter, not the
    clinicians.

18
This means thatMotivational Interviewing is
  • A collaborative approach, not a confrontational
    approach
  • Accomplishes its goal through the empowerment of
    the consumer

19
Summary
  • MI is evidence-based and is built upon a
    realistic understanding of how human motivation
    works.
  • It can be used along with any other treatment
    model.
  • It is a collaborative model built upon empowering
    the consumer and helping him/her find his/her own
    reasons to make a positive change, and then
    reinforcing these reasons.

20
Questions? / Comments?
21
Thank you for your participation!
22
Additional Resources
  • Motivational Interviewing Preparing people to
    change addictive behavior, Miller Rollnick,
    1991
  • Building Motivational Interviewing Skills A
    practitioner workbook, Rosengren, 2009
  • A Toolkit of Motivational Skills, second edition,
    Fuller Taylor, 2008
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