MI Principles and Spirit
Stages of Change
Change Talk
Roll with Resistance
OARS
100
Within an MI Framework, this is something to be expected from clients; it is the experience of having reasons/desire/need to both change and stay the same.
What is Ambivalence?
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 are "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
Open the door, encourage youth to talk, encourages elaboration and discussion, and leave broad latitude for how to respond.
What are Open-Ended Questions?
200
To work in partnership with clients and families and respect their expertise. They are experts on themselves and their families. Avoid advise-giving.
What is Collaboration?
200
A youth is thinking about change, but have 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 are 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
Drawing on ideas and solutions from the patients, evoking reasons for change. potential methods for change and to offer ideas for patient's consideration. Motivation for change comes from within the client.
What is Evocation?
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
On a scale from 0 to 10, how important is it for you to . . . . . And why are you at ____ and not zero? On a scale from 0 to 10, how confident are you that you could . . . . . And why are you at ____ and not zero?
What are Importance and Confidence Rulers?
300
List the four types of resistance.
What are Rationalization, Reluctance, Rebellion, and Resignation?
300
This technique collects, links and transitions.
What are Summaries?
400
Patients are ultimately responsible for choosing their own paths. Clients rather than the therapist must argue why change is required.
What is Autonomy?
400
A youth is making plans and talking about how he is going to change.
What is Preparation?
400
What is the opposite of Change Talk?
Sustain Talk
400
This is when we play the expert, blaming, labeling, premature focus, question-answer, and confrontational-denial role.
What are Traps clinicians respond with that create resistance?
400
These are two levels of Reflections.
What are Simple Reflection and Complex Reflection.
500
Name the four Principles of MI.
What are (RULE) - Resist the Righting Reflex, Understand Your Patient Motivation, Listen to Your Patient, and Empower Your Patient.
500
List all five Stages of Change in order.
What are Pre-Contemplation, Contemplation, Preparation, Action, Maintenance, Relapse?
500
List three ways to reinforce Change Talk
What are Elaboration Questions, Affirmations, Reflections, and Summaries?
500
List two ways to roll with resistance.
What are Avoid arguing for change, avoid meeting resistance with resistance, shift direction of momentum, and resistance is a signal to respond differently?
500
These are two types of Simple Reflections and are probably most easy.
What are Repetition and Rephrase?