MI Principles
Stages of Change
Change Talk
Roll with Resistance
OARS
100

Counselor is showing an understanding of a client's thoughts and emotions.

What is expressing Empathy?

100
A youth has fallen back into his old behavior and getting behavioral reports for the exact things the he said he was going to change.
What is Relapse?
100
Give three Buzz phrases for Change Talk.
What is "I can" "I need" "I wish" "I will" "I am"?
100
This means we are trying to "Fix" the youth.
What is Righting Reflex?
100

Questions that can't be answered with just a "yes" or a "no."

What are Open-Ended Questions?

200

Supporting a patient's belief that he can change. Supporting the "Can do" attitude.

What is supporting Self-Efficacy?

200
A youth is thinking about change, but have not made any plans or done anything yet.
What is Contemplation?
200

What words form the mnemonic "DARN" and is part of Change Talk.

What is Desire, Ability, Reason, Need?

200
A youth is minimizing his behavior. He is not taking responsibility for his actions and justifying it with everything he can come up with.
What is Rationalization?
200
It spells OARS if you combine the first letters of these words.
What are Open-Ended Questions, Affirmation, Reflective Listening, and Summarize?
300

Pointing out the gap between current behavior and future goals.

What is Developing Discrepancy?

300

A youth is making progress towards his change. He is in a good routine and has stopped receiving behavioral reports.

What is Maintenance?

300

What words form the mnemonic "CAT" and is part of Change Talk.

What is Commitment, Activation, Taking Steps?

300

A strategy for handling resistance where you verify your understanding matches the client’s perspective.

What is "clarification"?

300
This technique collects, links and transitions.
What are Summaries?
400

Counselor doesn't argue or threaten; counselor stays focused and offers choices.

What is Rolling with Resistance?

400
A youth is making plans and talking about how he is going to change.
What is Preparation?
400

Type of reflection that explores decisional balance

What is a double-sided reflection?
400

A way of handling resistance where you shift the client’s attention away from what seems to be a stumbling block.

What is "shifting focus"?

400

These are the two levels of Reflections.

What is "Simple Reflection and Complex Reflection"?

500
Name the four Principles of MI.
What is Express Empathy, Developing Discrepancy, Rolling with resistance, and Supporting Self-Efficacy.
500

List all six Stages of Change in order.

What are Pre-Contemplation, Contemplation, Preparation, Action, Maintenance, Relapse or termination?

500

A type of reflection where you use just a bit of amplification to join with the person.

What is "come alongside"?
500

A strategy for handling resistance where you assure the person that in the end, they are the one who determines what happens

What is "emphasizing personal choice and control"?

500

Type of complex reflection where you put a different perspective on the client’s story.


What is "reframing"?