MI Principles
Stages of Change
MI Strategies & Techniques
Handeling "Resistance"
100
Motivational interviewing
What is a client-centered, directive method for enhancing intrinsic motivation and resolving ambivalence?
100
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?
100
These questions cannot be answered with a yes/no response.
What are open-ended questions?
100
This conveys understanding or facilitates exchanges, while adding little or no emphasis to what the member has said.
What is a simple reflection?
200
MI is the evidence based practice for this issue
What is substance abuse?
200
This is the stage of change marked by sustained progress and established behavior.
What is maintenance?
200
This strategy allows the client to voice to the need or reasons for changing.
What is questions the elicit or evoke change?
200
A guideline for this strategy is to first defuse the initial concern, and then direct attention to a more workable issue.
What is shifting focus?
300
This common type of counselor style was used heavily in substance abuse programs in the past and is counterproductive in affecting change.
What is a confrontational style?
300
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.
What is action?
300
In developing a change plan with the client, the social worker supports this.
What is client self-efficacy?
300
This concept involves the social worker agreeing with some of the client’s message but orients the client towards change.
What is agreement with a twist?
400
The 4 intervention principles of Motivational Interviewing.
What are expressing empathy, rolling with resistance, supporting self-efficacy, and developing discrepancies?
400
16 year old girl who, after being diagnosed with depression, researched anti-depressants and has made a plan to take the medication daily. She is in this state of change.
What is preparation?
400
“On the following scale from 1 to 10, where 1 is definitely not ready to change and 10 is definitely ready to change, what number best reflects how ready you are at the present time to change your [insert risky/problem behavior]?” is an example of this.
What is readiness to change ruler?
400
This involves the social worker not debating with the client what the should or must do.
What is clarifying free choice?
500
Discussing the pros and cons of changing/not changing a particular behavior with a client.
What is decisional balancing?
500
The two stages that MI is designed to work with.
What is precontemplation and contemplation?
500
Social Workers should be reluctant to use this with clients because it may take responsibility away from their client.
What is advice or information?
500
"On one hand you're thinking..but on the other hand..."
What is an example of a double-sided reflection?
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