Are you ready?
A scaling system (usually 1-10) where people are asked to rate their emotional readiness for change.
What is the Readiness Ruler?
A collaborative, person-centered approach that is used to elicit and strengthen motivation for change
What is Motivational Interviewing?
I don't really have an alcohol problem. I just have to manage all this anxiety when I am at work. (Simple Reflection)
The real reason you drink is because you feel anxious at work.
A normal part of human behavior where you want to change and don't want to change at the same time.
What is Ambivalence
These two things are commonly asked when using the readiness ruler.
What are importance and confidence?
Questions that invite the person to reflect and elaborate
What are "Open Ended Questions?"
The term used to describe a process of giving participants information.
What is Elicit, Provide, Elicit
OR
Ask-Tell-Ask
I don't have a problem unless my friends come by to party. They don't have to work so they can stay out all night. (Complex or Amplified Reflection)
So, you can make your own choices except when your friends make you party.
A VC/EC's tendency to correct a client's problem, to make it "right"
What is the "righting reflex?"
These are the types of "change talk" heard in DARN CAT.
What is Desire, Ability, Reason, Need, Commitment, Activating, and Taking Steps?
Asking a majority of these and offering little reflections can lead to a MI non-adherent approach
What are closed questions?
I really don't see how I could begin an exercise program now, what, with my new job and the baby and all. (Double-sided reflection)
So, on one hand, you just don't how you can find the time to start exercising, and on the other hand, you'd really like to begin this exercise program.
This increases when the VC/EC values change more than the member.
What is "Resistance"?
When there is less resistance and "sustain talk," and more of this, it is usually a good time to start planning.
What is "change talk?"
Comments by the HAVT/VABIR staff that honors the client as a person of worth, with the capability for growth and change as well as giving a choice about whether to do so.
What is "Affirmations?"
Lacking this basic element of communication where you put yourself in someone else's shoes can lead to a non-adherent approach
What is empathy?
I am going to try and stop smoking. (Readiness ruler)
On a scale of 1-10, 1 being not very and 10 being very, how confident are you that you can stop smoking? Based on a response of 6, what would be your follow-up question?
A double-sided reflection will reiterate both the sustain talk and this part that you usually want to end with.
What is change talk?
This pillar of the Spirit of MI can be difficult to stand by when someone is not ready or willing to plan for change.
What is acceptance (or respecting autonomy)?
The VC or EC reflects back both sides of a client's ambivalence
What is " a double-sided reflection"
In contrast to "sustain talk," this type of resistance may be more of a conflict among the individuals rather than the issue at hand.
What is discord?
"I know I need to be healthier but I'm not ready to quit smoking." (shifting focus)
I hear that it isn't the right time for you to stop smoking. Is there anything else you would like to change?
A sheet where multiple ideas are captured from the participant at once is called...
What is "Agenda Mapping?"