Show:
Are you ready?
Engagement
Random
What do you say to that?
Miscelaneous
100

A scaling system (usually 1-10) where people are asked to rate their emotional readiness for change.

What is the Readiness Ruler?

100

Make an 'educated' guess about what the other person means or needs.

What is "Reflection" or "Reflective Listening"

100

A collaborative, person-centered approach that is used to elicit and strengthen motivation for change

What is Motivational Interviewing?

100

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.

100
A normal part of human behavior where you want to change and don't want to change at the same time.
What is Ambivalence
200

These two things are commonly asked when using the readiness ruler.

What are importance and confidence?

200

Questions that invite the person to reflect and elaborate

What are "Open Ended Questions?"

200
Three letters used to describe a process of giving clients information.
What is "E-P-E?" Elicit, Provide, Elicit
200

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.

200
A clinicians tendency to correct a clients problem, to make it "right"
What is the "righting reflex?"
300

These are the types of "change talk" heard in DARN CAT.

What is Desire, Ability, Reason, Need, Commitment, Activating, and Taking Steps?

300
Reflections that collect what a person has been saying, offering it back as in a basket.
What is "Summary?"
300

Asking a majority of these and offering little reflections can lead to a MI non-adherent approach

What are closed questions?

300

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.

300

This increases when the VC/EC values change more than the member.

What is "Resistance"?

400

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?"

400
Comments by the clinician that honors the client as a person of worth, with the capability for growth and change as well as volitional choice about whether to do so.
What is "Affirmations?"
400

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?

400

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?


400

A double-sided reflection will reiterate both the sustain talk and this part that you usually want to end with.

What is change talk?

500

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)?

500
The clinician reflects back both sides of a clients ambivalence
What is " a double sided reflection"
500

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?

500

"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?

500
A bubble sheet can be used for this task
What is "Agenda Mapping?"