MI Principles
Stages of Change
Change Talk
Resistance/Ambivalence
OARS
100
The care advocate is showing an understanding of a member's thoughts and emotions
What is expressing empathy?
100
The member has fallen back into his/her old behavior and you are hearing from providers that he/she is continuing to do the things that were supposed to change.
What is relapse?
100
An example of a desire statement and an ability statement.
What is (desire-I would like to, I wish, I really want) and (ability- I think I could, I can, I am able to)?
100
This is when we feel two ways about something.
What is ambivalence?
100
Call the member, encourage him/her to talk, encourages elaboration and discussion, and leaves broad latitude for how he/she may respond.
What is open-ended questions?
200
Supporting a member's belief that he/she can change. Supporting the "can do" attitude.
What is supporting self-efficacy?
200
A member is thinking about change, but has not made any plans or done anything yet.
What is contemplation?
200
It spells DARN when you combine the first letter of each word and is part of change talk.
What is desire, ability, reason, and need?
200
Two of the ways to respond to a member who is showing ambivalence
What are developing discrepancies, decisional balance, pros and cons, and readiness ruler?
200
Spells OARS if you combine the first letters of these words.
What is open-ended questions, affirmations, reflections, and summaries?
300
Pointing out the gap between current behavior and future goals.
What is developing discrepancy?
300
A member is making progress towards change. The member is in a good routine and has stopped using drugs.
What is maintenance?
300
You use this to evoke change talk. It looks like a line frm 1-10.
What is a change ruler?
300
Traps that clinicians run into that can create resistance in the member. (Name Two)
What are the expert trap, blaming, labeling, premature focus question and answer, and confrontational-denial role?
300
This technique collects, links, and transitions.
What is summaries?
400
Care advocate doesn't argue or threaten; CA stays focused and offers choices.
What is rolling with resistance?
400
A member is making plans and talking about how he/she is going to change.
What is preparation?
400
The four ways to reinforce change talk.
What is (OARS) open ended questions, affirmations, reflections, and summaries?
400
The four types of resistance.
What are Rationalization, Reluctance, Rebellion, and Resignation?
400
These are two levels of reflections
What are simple reflections and complex reflections?
500
The four principles of MI.
What is expressing empathy, developing discrepancy, rolling with resistance, and supporting self-efficacy?
500
All 6 stages of change, in order.
What is pre-contemplation, contemplation, preparation, action, maintenance, and relapse?
500
3 ways to elicit change talk.
What is decisional balance, goals/values exploration, elaboration, importance/confidence ruler, querying extremes, looking back/looking forward, and evocative questions?
500
Two ways to roll with resistance
What is empathy, acceptance, validation, reflections, summarizing, allowing time for processing, shifting focus, reframing, agreement with a twist, and siding with the negative.
500
Two types of simple reflections and are probably the most easy.
What is repetition and rephrase?