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					Motivational Interviewing - Readiness to Change Staff In Service Training Document

                                                  Are They Ready?
This document is intended to be used by staff trainers to increase staff comprehension and skill in
listening for readiness to change. Read the client statements and then decide using the list of
readiness signs below to determine if the client statement indicates readiness to move into toward
change. Describe your reasoning.

Signs of Readiness for Change

•        Decreased resistance. The wind seems to have gone out of the sails of resistance. Dissonance in
         the counseling relationship diminishes, and resistance decreases.
•        Decreased discussion about the problem. The client seems to have talked enough about the area
         of concern. If the client has been asking questions about the problem area, these stop. There is a feeling of at
         least partial completion, of or for waiting to take the next step.
•        Resolve. The client appears to have reached some resolution and may seem more peaceful,
         relaxed, calm, unburdened, or settled. This can also have a tone of loss, or resignation.
•        Change talk. When resistance is reduced, change talk increases, and clients make direct
         statements about a desire to change, the ability to change, the reasons or benefits of change, and the need to
         change (the disadvantages of the status quo). They may also make statements of intention to change.
•        Questions about change. Clients may begin to ask what they could do about the problem, how
         people change once they decide to, and the like.
•        Envisioning. The client talks about how life might be after a change. This can be mistaken for resistance;
         that is, looking ahead to change often causes a person to anticipate difficulties if a change were made. Of
         course, the client may also envision positive outcomes of change.
•        Experimenting. The client may have begun experimenting with possible change actions since the last
         session.


Sample
STATEMENT: This is not what I expected. I thought you would be more in my face about the DUI. It's been more
like a workshop than a jail term. It's made me really think about some things, and I wasn't expecting to do that.
    Do these statements signal a possible readiness to shift? No ___ Yes X
    If yes, what kind?
X   Decreased resistance                              Questions about change
    Decreased discussion about problem                Envisioning
    Resolve                                           Experimenting
    Change talk


Reasoning for your choice?

The client is clearly talking about how expectations were not met and how this caused a shift. Whether or not he
is ready to shift is not clear, but the response indicates it is possible.




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Motivational Interviewing - Readiness to Change Staff In Service Training Document

Statement 1

So, what do other people say about this? I just can’t believe that people just cave in when they hear
recommendations sending them to a halfway house.

        Does this signal a possible readiness to shift? No____ Yes _____
        If yes, what kind?

    Decreased resistance                        Questions about change
    Decreased discussion about problem          Envisioning
    Resolve                                     Experimenting
    Change Talk



Reasoning for your choice?




Statement 2

I agree it would be good to make some different choices that have less risk, but I also like to have fun
with my friends. I have too much fun with them.


Do these statements signal a possible readiness to shift? No _____ Yes ___

If yes, what kind?

  Decreased resistance                            Questions about change
  Decreased discussion about problem              Envisioning
  Resolve                                         Experimenting
  Change talk



Reasoning for your choice?




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Motivational Interviewing - Readiness to Change Staff In Service Training Document

Statement 3

You don't understand. These guys aren't going to take "No, thanks" for an answer. They're going to hound me.
I've got to come back with something stronger.
Do these statements signal a possible readiness to shift? No _____ Yes ___

If yes, what kind?

  Decreased resistance                              Questions about change
  Decreased discussion about problem                Envisioning
  Resolve                                           Experimenting
  Change talk



Reasoning for your choice?




Statement 4
I won't be in this situation again. It sucks. I'm so embarrassed.

Do these statements signal a possible readiness to shift phases? No ____Yes _____

If yes, what kind?

  Decreased resistance                             Questions about change
  Decreased discussion about problem               Envisioning
  Resolve                                          Experimenting
  Change talk



Reasoning for your choice?




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Motivational Interviewing - Readiness to Change Staff In Service Training Document

Statement 5

You know I am not very social, but I have been trying to speak up more in group.

Does this signal a possible readiness to shift? No ____Yes ____- If yes, what kind?

   Decreased resistance                               Questions about change
   Decreased discussion about problem                 Envisioning
   Resolve                                            Experimenting
   Change talk
Reasoning for your choice?




Statement 6
I don't see any point in talking about it.

Does this signal a possible readiness to shift? No _____ Yes ____ If yes, what kind?

   Decreased resistance                               Questions about change
   Decreased discussion about problem                 Envisioning
   Resolve                                            Experimenting
   Change talk
Reasoning for your choice?




Statement 7

I feel like we're going over it and over it. I get it. I just need to figure out how.

Do these statements signal a possible readiness to shift? No Yes If yes, what kind?

   Decreased resistance                              Questions about change
   Decreased discussion about problem                Envisioning
   Resolve                                           Experimenting
   Change talk
Reasoning for your choice?




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posted:8/23/2011
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