Change Talk
Central Principles of MI
Reflections, MI Style
Acronyms
Coaching Skills
100

"I want to..."

Desire

100

Statements about resisting change and maintaining the status quo

Counterchange talk

100

Goal of reflections 

Maintain COLLABORATION with client, AFFIRM AUTONOMY, avoid arguments and confrontation(CLARITY), and EVOKE possibility of change talk.

100

D.A.R.N. This acronym is used to remind the coach to 

Ask probing questions

100

Recovery in the coaching process comprises these three elements

Notice - Awareness of the gap, shift or disconnect

Name It - "I got loss", "I got distracted"

Reconnect - Level II connection engaged and present


200

"I could..."

Ability

200

Counterchange talk expressing ambivalence 

Sustain talk 

200

Rephrases what the client said using their key words

Simple Reflection

Client: I want to start chewing nicotine gum again. I've got to.

Coach: It's important to you to try again and you're going to use nicotine gum. 

200

D.A.R.N. Coaching dialogue is explores

Desire - Motivation for intended outcome

Ability - Does client feel they have right ability

Needs - Skills or abilities needed

Reasons - How many reasons can they find to change

200

"May I tell you what I see?" Is an example of this coaching skill.

Asking Permission

Also: "Would you like some feedback on that?"

300

"I should because..."

Reasons

300

Exploring the client's reason for change

Motivation

300

Position the clients statement differently/positively

Reframe 

Client: I've tried to quit smoking many times, but I always give up.

Coach: Your persistence in the face of failed attempts is strong. It is important to you to quit.

300

Sharing information is done sparingly and with permission though this format

E-P-E

Elicit-Provide-Elicit (Ask-Tell-Ask)

300

Skill of getting to the point and redirecting the coachee away from tangential stories 

Bottom Lining

"So what's the bottom line here?'

"So what will you really commit too?"

400

"I have to..."

Need

400

Client is always in charge and coaching avoids the need to fix or preach to promote

Self-efficacy

400

Used to make sense of discrepant information a client states about who they say they are and who they say they want to be.

Double Sided

Client: "I'm afraid they are going to leave me, but I won't stop having my beers."

Coach: On one hand you say your family is important and your bingeing is driving them away. Help me understand this...

400

Components of Co-Active Coaching Model

Fulfillment, balance and process (action)

FBP or FBA

400

How championing differs from acknowledgement

You stand up for coachees by identifying their abilities to take on a task, perhaps recognizing a strength or capacity they didn't give themselves credit for.

500

"I will..."

Predicated absence of unwanted behavior

500

"If and when you are ready  to make a change, I'm here to support you" helps client to

Affirm and foster autonomy

500

Useful mental ruler to gauge the degree to which a client is ready or motivated to achieve a stated goal

Scaling 

Backward: Why did you pick a 4 and not a 2

Forward: What would need to be different for you to move from a 4 to a 6.

500

Formula for balanced coaching. 

Moving from stuck to possibility

PCCCA

Perspective, choice, co-active strategy, commitment, action

500

The valuable skill of venting to help a coachee become more present

Clearing 

"You seem distracted. It's like we're having to work too hard to stay on track."