Motivational Interviewing
Motivational interviewing
What is a client-centered, directive method for enhancing intrinsic motivation and resolving ambivalence?
This stage of change is demonstrated in a 40 year old mother who says she is too overworked to quit smoking now.
What is Pre-contemplative?
Any client statement/speech that favours movement in the direction of change. Typically phrased in the present tense
“What is change talk?
These questions cannot be answered with a yes/no response
-What are open ended questions
Captures and then returns back to the client something they have just said
What is a reflection?
MI is the evidence based practice for this issue
What is substance abuse?
This is the stage of change marked by sustained progress and established behavior.
Maintenance.
The client statement...'I have to smoke marijuana to be creative" is an example of this
What is sustain talk?
This aspect of the MI spirit relies on asking questions to draw out what is important to clients, their motivation for change
-What is evocation?
This conveys understanding or facilitates exchanges, while adding little or no emphasis to what the member has said
What is a simple reflection?
This common type of counsellor style was used heavily in substance abuse programs in the past and is counterproductive in affecting change.
What is a confrontational style?
An obese 15 year old who has been going to the gym for 45 minutes a day three days a week for a month is in this state of change.
Action.
In MI the acronym E.A.R.S is used to describe the different ways of responding to change talk. The "E" stands for this.
What is elaborating?
An MI adherent way to give advice/information to a client
What is Ask-Provide-Ask?
This type of reflection gathers together many thoughts that the client has conveyed in the conversation
What is a summary?
Expressing empathy, rolling with resistance, supporting self-efficacy and developing discrepancies.
What are the 4 principles of Motivational Interviewing?
A 16 year old girl who, after being diagnosed with depression, researched anti-depressants and has decided to take the medication daily. She is in this state of change.
Preparation.
This type of question helps to build motivation for change in clients by having clients remember times before the problem emerged.
What is called Looking Back?
What studies in adults vs. adolescents have shown about MI and obesity.
Adult subjects receiving MI lost more weight and exercised more than those who did not receive MI; not shown in adolescents. If extrapolate, however, stands to reason that MI will help adolescents too.
This adds meaning or emphasis to what the client has just said
What is a complex reflection?
Discussing the pros and cons of changing/not changing a particular behaviour with a client.
What is decisional balancing?
The creators of the Stages of Change
Who are Prochaska and DiClemente?
This gardening metaphor has been used in MI to describe the process of developing a summary in counselling
What is collecting flowers? (large bouquet)
These are the recommended components of an obesity focused interview.
1. Assess BMI 2. Assess current status of behaviors 3. Set agenda for change (which is most amenable, agree on target behavior) 4. Assess motivation and confidence, scale 1-10 5. Summarize and probe next steps 6. Schedule follow-up
"On one hand you're thinking..but on the other hand..."
What is an example of a double-sided reflection?