LevelsTypes of Training in Motivational Interviewing

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					                       Levels/Types of Training in Motivational Interviewing

       Type             Goals                                           -                                                  Length

1      Introduction     To experience the basics ofMI and decide level of interest in learning more                        2 hours
       toMI             To be familiar with the fundamental spirit and principles ofMI                                     to
                        To be acquainted with relevant evidence of efficacy                                      ,. ,      1 day
                        To directly experience the MIapproach and contrast it with others
2      Application      To learn one or more specific applications of MI                                                   1 hour
       ofMI             To be acquainted with the fundamental spirit ofMI                                                  to
                        To learn practical guidelines for a specific application "in the spirit ofMI"                      1 day
                        To have direct practice in and experience of this particular application
                        To decide level of interest in learning more
3      Clinical         To learn the basic clinical style of MI, and how to continue learning it in                        2-3 days
       Training         practice
                        To understand the fundamental spirit and principles ofMI
                        To strengthen empathic counseling skills (OARS)
                                                                                                                           Might be
                                                                                                                           offered in
                        To understand and practice the directive aspects ofMI                                              several 4-
                        To experience and practice an MI style for meeting resistance                                      8 hour
                        To learn the fundamental client language cues (change talk and resistance), that                   parts
                        allow continued feedback and learning in practice
4      Advanced         To move from basic competence to more advanced clinical skillfulness in                            2-3 days
       Clinical         MI
       Training         To have intensive observed practice in advanced MI skills
         .              To receive individual feedback regarding MI practice
                        To update knowledge ofMI (recent research and developments)
5      Supervisor       To be prepared to guide an ongoing group in learning MI                                            2-3 days
       Training         To understand the sequence of skills for acquiring MI proficiency
                        To learn observational/analytic methods for evaluating MI
                        To learn methods for facilitating practice improvement over time
                        To be prepared to certify MI practitioners and maintain quality control
6      Training for     To learn a flexible range of skills and methods for helping others learn MI                        3-4 days
       Trainers         To learn and practice an array ofMI training methods
                        To enhance confidence in training and demonstrating MI
                        To assess the specific needs and context of trainees, and to design and adapt
                        training approaches accordingly
                        To update knowledge of MI and training (recent research/developments)
                        To participate in the international MI Network of Trainers

    A workshop alone is insufficient for learning MI. The above approximate times apply to an initial workshop only, and
    training plans should provide for continuing coaching, feedback, and supervision.

                 Eight Stages in Learning Motivational Interviewing
                          William R. Miller and Theresa B. Moyers

1   Overall Spirit of     Openness to a way of thinking and working that is collaborative
    MI                    rather than prescriptive, honors the client's autonomy and self-
                          direction, and is more about evoking than installing. This involves
                          at least a willingness to suspend an authoritarian role, and to
                          explore client capacity rather than incapacity, with a genuine
                          interest in the client's experience and perspectives.
2   OARS:                 Proficiency in client-centered counseling skills to provide a
    Client-Centered       supportive and facilitative atmosphere in which clients can safely
    Counseling Skills     explore their experience and ambivalence. This involves the
                          comfortable practice of open-ended questions, affirmation,
                          summaries, and particularly the skill of accurate empathy as
                          described by Carl Rogers.
3   Recognizing           Ability to identify client !'change talk" and commitment language
    Change Talk and       that signals movement in the direction of behavior change, as well
    Resistance            as client resistance. Change talk includes desire, ability, reasons,
                          and need for change, which favor increased strength of
4   Eliciting and         Ability to evoke and reinforce client change talk and commitment
    Strengthening         language. Here the client-centered OARS skills are applied
    Change Talk           strategically, to differentially reinforce change talk and
5   Rolling with          Ability to respond to client resistance in a manner that reflects and
    Resistance            respects without reinforcing it. The essence is to roll with rather
                          than opposing resistance.
6   Developing a          Ability to recognize client readiness, and to negotiate a specific
    Change Plan           change plan that is acceptable and appropriate to the client. This
                          involves timing as well as negotiation skills.
7   Consolidating         Ability to elicit increasing strength of client commitment to change,

    Commitment            and to specific implementation intentions.

8   Transition and        Ability to blend an MI style with other intervention methods and to
    Blending              transition flexibly between MI and other approaches.
                                                                                                  "'.~ .


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