MI Principles
Four Point Office Structure
Change Talk
Sustain Talk and Discord
OARS
100

Agents is showing an understanding of a client's thoughts and emotions.

What is expressing Empathy?

100

An agent is actively involved in developing the rapport with a client.

What is Check In?

100
Give three Buzz phrases for Change Talk.
What is "I can" "I need" "I wish" "I will" "I am"?
100

List two signals of disharmony in your collaborative relationship:

What is defending, squaring off, interrupting, disengagement?

100

Encourages client to talk, encourages elaboration and discussion, and leaves broad latitude for how to respond.

What is Open-Ended Questions?

200

Supporting a client's belief that he can change. Supporting the "Can do" attitude.

What is supporting Self-Efficacy?

200

An agent has collaborated on what assignment the client will do this week.

What is Take Home Assignment?

200
It spells DARN when you combine the first letter of each word and is part of Change Talk.
What is Desire, Ability, Reason, Need?
200

The client's own motivations and verbalizations favoring the status quo.

What is Resistance?

200

It spells OARS if you combine the first letters of these words.

What are Open-Ended Questions, Affirmation, Reflective Listening, and Summarize?

300

Pointing out the gap between current behavior and future goals. (Politely)

What is Developing Discrepancy?

300

An agent has taught a skill, modeled it with the client and has practiced it with the offender.

What is Intervention?

300
It spells CAT when you combine the first letters of each word and is part of change talk.
What is Commitment, Activation, Taking Steps?
300

A client is upset with the agent; your professional relationship needs some attention.

What is Discord?

300

This technique collects, links and transitions.

What are Summaries?

400

Agent doesn't argue or threaten; agent stays focused and offers choices.

What is Rolling with Resistance?

400

An agent has discussed what case plan goals have been achieved.  

What is Review?

400
List three ways to reinforce Change Talk
What is Elaboration Questions, Affirmations, Reflections, and Summaries?
400

It is about the target behavior or change and reflects one side of ambivalence.

What is Sustain Talk?

400

These are two levels of Reflections.

What is Simple Reflection and Complex Reflection.

500

Name the four main principles of MI.

What is Partnership, Acceptance, Collaboration, Evocation

500

The agent has asked how the skill taught in the session can be applied in other situations.

What is Take Home Assignment.

500
List three ways to elicit Change Talk.
What is Decisional Balance, Goals/Values Exploration, Elaboration, Importance/Confidence Ruler, Querying Extremes, Looking Back/Looking Forward, and Evocating Questions?
500

List two ways to respond to Sustain Talk.

What is straight reflection, amplified reflection, double-sided reflection, emphasizing autonomy?

500

Recognizing and acknowledging strengths and attributes.

What is Affirmations?

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