Motivational Interviewing

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					Motivational Interviewing
               Objectives

• To understand the concept of motivational
  interviewing.
• To be able to discuss some of the general
  principles.
• To be able to begin to use some of the
  concepts in practice
What is Motivational Interviewing?
What is Motivational interviewing?
What is Motivational Interviewing?

• Client –centred counselling style for changing
  behaviour by helping clients explore/resolve
  ambivalence.

• A approach to help individuals develop a
  commitment to changing problematic behaviour.

• A motivation to change that comes from the
  client.
         Be aware of…………

• Assuming that the client wants to change.

• Assuming the client’s health is the prime
 motivating factor from them.

• That if the client does not decide to
 change then the intervention has failed.
              5 General principles

• Express sympathy
• Develop discrepancy
• Avoid arguments
• Roll with resistance
• support self efficacy (believe one is capable of performing
  in a certain manner)
                  Strategies of MI

• Elicit      -   draw out



• Clarify – make clear

• Resolve ambivalence – simultaneous attraction +
  revulsion towards an object/ action ( I do but I don’t!)
For a client to change they need
to………
• Recognise the current behaviour is a
  problem or concern.
• Believe that they will be better off if they
  change.
• Believe that they are able to change.
Process of change
                   Worker skills
• Express empathy through reflective listening.
• Communicate respect for and acceptance of their
    feelings.
•   Establish a non judgemental relationship with client.
•   Be complimentary not punitive.
•   Listen rather than tell.
•   Gently persuade ( change is up to the client.)
•   Develop discrepancy between clients goals and values
    and their current behaviour.
•   Focus on clients strengths to support and optimising
    needed to change.
     Undertaking an interview

• Examine the good things about the clients
  behaviour.
• Examine the less good things and
  compare the two.
• Explore how much of a concern the less
  good things are.
    Decisional balance sheet

 Positives of ………          Less good things
                              about…….



Positives of not ……..   Less good things about
                             not ………….
               Tool kit!

• Be empathic – non judgemental
• Use open Questioning
• Reflective listening
• Summarize
• Use decisional balance sheet
   Some good phrases to use!

• Tell me about your ……………

• What do you like about ………………

• What is positive about your……..for you?

• Do you have any concerns about……………
               Summary

• Sowing a seed!!
• Helping people to maintain change
• Client centred
• Non confrontational
• Opportunist
• Can be delivered by non-specialist