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MI Principles
Stages of Change
Change Talk
Stages of MI
OARS
100
Counselor is showing an understanding of a client's thoughts and emotions.
What is Expressing Empathy?
100
A client has fallen back into her old behavior and getting behavioral reports for behavior the had been changing.
What is Relapse?
100
The readiness ruler.
What is a technique to discuss importance and confidence of client change?
100
Establish rapport and build trust, mutually respectful relationship.
What is Engagement?
100
OARS:
What are Open-Ended Questions, Affirmation, Reflective Listening, and Summarize?
200
Supporting a client's belief that she can change.
What is supporting Self-Efficacy?
200
A client 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 is Desire, Ability, Reason, Need?
200
Ongoing, collaborative process of seeking and maintaining direction.
What is Focusing?
200
Sounds like you are working hard to survive a difficult situation.
What is reflection?
300
Pointing out the gap between current behavior and future goals.
What is Developing Discrepancy?
300
A client is making progress towards change and has six months of engaging in new behavior.
What is Maintenance?
300
It spells CAT when you combine the first letters of each word and is part of change talk.
What is Commitment, Activation, Taking Steps?
300
Intended to help resolve ambivalence in direction of change.
What is evoking?
300
Everyone is telling you that you have a drug problem and you are feeling misunderstood and not heard.
What is Summary?
400
Counselor doesn't argue or threaten; counselor stays focused and offers choices.
What is Rolling with Resistance?
400
A client is making plans and talking about how she is going to change that she is concerned about, within the next month.
What is Preparation?
400
List three ways to reinforce Change Talk
What are Affirmations, Reflections, and Summaries?
400
Mobilizing Change Talk -Thoughts, Feelings, etc. that indicate movement toward resolution of ambivalence
What is Planning?
400
You are not sure you want treatment, although you are not happy with your current situation.
What is ambivalence/developing discrepancy?
500
Name the Four Guiding Principles of MI.
What is Express Empathy, Develop Discrepancy, Roll with resistance, and Support Self-Efficacy.
500
List all six Stages of Change in order.
What is Pre-Contemplation, Contemplation, Preparation, Action, Maintenance, Relapse?
500
Exploring the pros and cons of behavior.
What is Decisional Balance?
500
Four stages of MI are:
What are Engaging: the relational foundation Focusing: the strategic direction Evoking: preparation for change Planning: the bridge to change?
500
Responding to difficult moments in therapy sessions without increasing confrontation or arguments.
What is rolling with resistance?