MI Spirit
The heart and mindset of Motivational Interviewing.
What is the Spirit of MI?
It is important for this to happen from the first phone call or during the first appointment to decrease the likelihood of no-shows.
What is engaging, developing a therapeutic alliance, or developing rapport?
Statements starting with "I wish", "I can", "It's important because", "I have to".
What is DARN - Desire, Ability, Reason, and Need?
These are the core communication skills of Motivational Interviewing.
What are OARS? (Open-ended questions, Affirming, Reflections, Summaries)
This gets in the way of listening.
What are roadblocks? (ordering, warning, advising, persuading, telling, shaming, etc.)
The practitioner is not the expert and works with the person.
What is Partnership?
This is done throughout the four processes pulling from the person versus telling them.
What is Evoking?
A normal process of conflicting motivations of whether to change or not.
What is Ambivalence?
You are persistent and determined and aren't going to stop until you get this resolved.
What is affirming (affirmation)?
There is tension in the in the collaborative relationship.
What is discord?
Providing a reflection that demonstrates understanding of an individuals' thoughts, emotions, perspective, and/or worldview.
What is empathy (accurate empathy)?
A collaborative process that assists with identifying the targeted area of change.
What is focusing?
This is mobilizing change talk.
What is Commitment, Activation, Taking Steps?
"You don't think this is a problem, and you want your life to be different."
What is a double-sided reflection?
This is a MI consistent way of exchanging information.
What is elicit-provide-elicit? (EPE) with permission.
Supporting one's belief that they can change and have the ability to change.
What is supporting Self-efficacy?
This tool can help narrow the focus on where to start when the individual has many areas of concern.
What is agenda mapping?
Language that shows movement away from change.
What is Sustain Talk?
We are more likely to stay on the individual's agenda and to demonstrate accurate empathy by using this technique.
What are reflections?
You are more likely to see behavior change when you hear more _____ and less ________.
What is Change Talk and Sustain Talk.
Name the four aspects of Acceptance.
What is Absolute Worth, Affirmation, Autonomy, and Accurate Empathy?
Sometimes when we jump too quickly into picking an area of focus disengagement occurs.
What is the premature focus trap?
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?
By using this technique, we dig deeper into the person values, goals, reasons for change.
What is a complex reflection?
This is how to increase competency within MI.
What is practice, practice, practice?