motivational interviewing techniques pdf

Preparing People to Change Health Behaviors. Define the principles of MI. 1. This approach has built up a solid evidence base for effectiveness, and has been applied to a variety of people with different problems, including adherence. Screening and Assessment 4. It is designed to strengthen The Manual "�A$��*? 4. Motivational Interviewing (MI) is a therapeutic strategy for facilitating behaviour change. Motivational Interviewing Techniques Can Help People Change By: Helping them to recognize their high-risk behavior 54. OARS in Motivational Interviewing William R. Miller, Ph.D. “OARS” is an acronym to help you remember four basic counseling skills that are used in the engaging process, and indeed throughout the processes of motivational interviewing (Miller & Rollnick, 2013). h�b```f``2f`a``�[email protected] A�+s\ ���k����p~B� "����0�,�f���s`�; ��D�I�d��� R0H����� h�~�-�4$�30� ` �2A Brief Intervention Modules 1 and 2 focus on Motivational Interviewing which is a key element of brief interventions for substance misuse. Definition of Motivational Interviewing “Motivational interviewing is a client-centered, directive method for Describe elements of the provider style that precontemplative or highly ambivalent 66 0 obj <>/Filter/FlateDecode/ID[]/Index[48 37]/Info 47 0 R/Length 96/Prev 151040/Root 49 0 R/Size 85/Type/XRef/W[1 3 1]>>stream Also, clients are more likely to discuss changing when asked, than when being lectured or being told to change. Describe the spirit of MI. endobj Motivational Interviewing 101: The Basics on Engaging People into Treatment David Mee-Lee, M.D. Goal of Motivational Interviewing: The goal of Motivational Interviewing is to get individuals to resolve their ambivalence about changing their behavior, without evoking resistance to change. Identify MI techniques to help patients change. 2 0 obj ADefinition"of"Motivational"Interviewing" The!definition!of!Motivational!Interviewing!(MI)!has!evolved!and!been!refined!since!the!original! Examples Last week you were not sure you could go one day without a cigarette, how In 1991 Richard Miller and Steve Rollnick created a more detailed concept of Motivational Interviewing (MI) is a therapeutic strategy for facilitating behaviour change. Motivational Interviewing is an integral part of SBIRT, and its principles can also be applied to other therapeutic interactions revolving around behavior change. Sobell!and!Sobell!©2013.!Availableonlineat!http://www.nova.edu/gsc/online_files.html. ` ;B� Examples of Asking Permission • “Do you mind if we talk about [insert behavior]?” 1 0 obj While you are an expert in health care, your client is an expert in his or her own life. 3 0 obj <> Information about requirements and processes for certification and recertification in general pediatrics and pediatric subspecialties. <>>> stream %PDF-1.6 %���� Cutting off Ignoring. These are considered the four core skills (Miller & Rollnick, 2013). The following materials supplement formal MI training, but cannot replace the instruction and practice necessary to become proficient. Understand the conditions under which most clients are willing to attempt behavioral change (the change trifecta: importance, confidence, readiness); 3. It is one of the features that The five principles of motivational interviewing are: (1) The practitioner 6ɟ/���c9;/�H About the authors Motivational interviewing typically achieves its effects in one to four sessions Motivational interviewing appears to require a “minimum dose” of about 20 minutes. New York: Guilford Press. Evoke the patient’s personal motivation for change. 0 Inattention Non -answer No response Sidetracking Denying. Stages of Change & Motivational Interviewing Welcome to Recovery U Module 3: Stages of Change and Motivational Interviewing. This approach has built up a solid evidence base for effectiveness, and has been applied to a variety of people with different problems, including adherence. Open questions, affirmations, reflective listening, and summary reflections (OARS) are the basic interaction techniques and skills used in the motivational interviewing approach. We feel that MI may offer some useful resources for busy CF clinicians. Techniques such as reflective listening, summarizing a conversation, and weighing costs and benefits, are utilized in MI, as communication styles supporting the patient’s hopes, optimism, and self-efficacy. pg. 3. <>/XObject<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 720 540] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 2. The letters stand for: h��Vmo�6�+�=p�&�(�N�$h3#��vA>������V������dQq[��A�x�;����i,p0�p`Rʀ�V�3���h�� -ѬA�v�9�[�S�$Wl Motivational Interviewing: Helping People Change. %���� endstream endobj startxref Miller. %PDF-1.5 Thinking and talking about change pave the way for change. ��\�b��3�@��A7��hEK=o�N��pH�`q��V�d����h���[email protected]� ���(l� �$�� - �B`�- 6s�$�~&o&G�k����4�u�K�a�)�*z�j�+�vY&�u W� Motivational Interviewing Tips Sheet . Motivational Interviewing basics The underlying “spirit” (or philosophy) of MI is even more important than the skills. Motivational Interviewing Core Skills “Enhancing intrinsic motivation to change by exploring and resolving ambivalence.” (Miller and Rollnick, 2002) Demonstrating MI “Spirit” (encourages ownership, enhances self-efficacy, assumes competency) Respect Autonomy vs. exert authority Collaborate vs. confront Evoke vs. educate Arguing Challenging Discounting Hostility Interrupting. endobj > Professional > Techniques > Motivational Interviewing Motivational Interviewing (MI) It is defined as a “collaborative, goal-oriented type of communication with particular attention to the language or change” and “is designed to strengthen personal motivation for change” (Miller & … endobj About the authors Clients are more likely to discuss changing when asked, than when being lectured or … 48 0 obj <> endobj CORE CONCEPTS IN MOTIVATIONAL INTERVIEWING Summary of Motivational Interviewing* Motivational Interviewing (MI) was developed by William R. Miller and Stephen Rollnick, and is defined as a collaborative, person-centered directive counseling method for addressing the common problem of ambivalence about behavior change. <> Focus on what’s important to the patient regarding behavior, health, and welfare. Negotiate plans. Motivational Interviewing in Health Care: Helping Patients Change Behavior by William Miller, Stephen Rollnick, & Christopher Butler Motivational Interviewing in the Treatment of Psychological Problems by William Miller, Stephen Rollnick, Hal Arkowitz, & Henny Westra Motivational Interviewing, Third Edition: Helping People for Change endstream endobj 49 0 obj <> endobj 50 0 obj <> endobj 51 0 obj <>stream More sessions have been associated with greater efficacy 31 Rubak S, Sandbaek A, Lauritzen T, Christensen B. Motivational interviewing: A systematic review and meta-analysis. %%EOF TENANTS OF MOTIVATIONAL INTERVIEWING Expressing Empathy—seeing the world from the student’s perspective and sharing in their experiences to ensure the student feels heard and understood. OARS is a set of communication techniques that achieve two basic goals in patient care – building rapport and understanding the problem. View BPK 340 Lecture 7_Counselling and Motivational Interviewing (1).pdf from BIOL 354 at University of British Columbia. Motivating often means resolving conflicting and ambivalent feelings and thoughts Motivational Interviewing Strategies and Techniques: Rationales and Examples ASKING PERMISSION Rationale: Communicates respect for clients. Purpose: In 2015, the “Motivational Interviewing Implementation and Practice Manual” became available to all juvenile probation departments as a resource of steps, materials, strategies, and protocols to guide departments in the training and implementation of motivational interviewing practices. “Motivational Interviewing is a directive, client-centered counseling style for eliciting behavior ... techniques (Readiness to Change Ruler, Importance and Confidence related to goal choice). �������ޞX�߁�A��Brk����T�6�U��o�qд2����h�!4-��)U�i���I6D���O��*F��x~�����[email protected]?���Lk����'H�����(��t�dV�*�z�Zt9 �f�ڔ�^jm�Z!����}d���sֽ>g��9;������lS����\�#h��&�[�x�#q��䪃`�UQS��m���*��+�TQnu�۫����הmr. Describe and define motivational interviewing and compare and contrast it to other counseling techniques; 2. h�bbd```b``z alkingT over . 1. Identify the tasks of MI. Define motivational interviewing (MI). !This!document!is!not!tobe!copied!or! òe��%}p�q�r7��Hq�+��C�ͽ�f岐`Bਸ�W�+�.��y�*����7�*_Og��Η��l��,���E�P�!��C��g�P?����Y]�n�a����Rx��6�c�:� .RjZ���p7���*����|H�^��|i�+�h��n$ ����뛗� �M�4s�z���5>�Id%-�ԏ�C̼�������d���v��|0���}4AN����ǚ_="b� � H�&�P��w�EEhC�-��Sd�f[O��M�ڨ`����C Signs of Resistance. We feel that MI may offer some useful resources for busy CF clinicians. By the end of this Learning Module, you will be able to describe the stages of change, delineate some of the principles of motivational interviewing or MI, summarize evidence of its 84 0 obj <>stream BPK 340 Module 7: Counselling and Motivational Interviewing … Motivational)Techniques)and)Skills)) ) 2)! Motivational Interviewing The tasks of MI are to— Engage, through having sensitive conversations with patients. Motivational interviewing techniques Facilitating behaviour change in the general practice setting • stress management • completion of recommended screening or diagnostic tests or specialist/allied health/psychologist referral. W. R. and Rollnick, S. 2013. Motivational Interviewing (MI) MI was conceptualized by Richard Miller in 1983 from his work with problem drinkers. Motivational Interviewing: Tools and Techniques 3. 4 0 obj Motivational interviewing: Philosophy and Principles 2. The spirit of motivational interviewing motivational interviewing is underpinned by a series of principles x��}ˮl�n]� ���F]��ᆯ# I��l��`� N��Lr�A��Au�^�TsJ$E�����y�������������^�}��¥Wz��r)i�fI����������y�����?�s�����������ȩ}��׿������o���O}��7e�)��kY�_�����?1߫aP��������e�ǻٯ�{wo�án?����i�s�� �{donӡ�ε=P}����^\�k{�?���:P~���@x[���wx��߳�g"o~~����]͡�4����`�ܚ�]��6��D�@��D�4{�C�,�(>�ݼu���������O~FZ�9��cJ��M����?��!8g�cƘ�;[G������N�)�0"F=S������-0 ��. R*�S�� ���� 7�(�Zx��M�e��=狂>����pszʲj]�.o8ŃJ�I��FV$�FNP��IVa��Z̊��M�36/^����;v9���m� ��s�Ӝmź� Motivational Interviewing tools and techniques provide structured and efficient ways to help patients develop internal motivation to change. 4 davidmeelee.com • Progressively negotiate the quality of the relationship as an important and urgent challenge – You can anticipate that your initial assessment of the client’s relational capacities, style, preferences and Credibility - staff confidence in underlying assumptions, techniques and evidence Multifaceted - inclusion of a variet y of interventions and formats suited to the variety of Strategies of Motivational Interviewing – OARS Strategies Description Examples Open-Ended Questions Elicits descriptive information “tell me about” or “describe.”Requires more of a response than a simple yes or no Encourages student to do most … 5. mi_rationale_techniques.pdf Page 1 of 2 Motivational Interviewing Strategies and Techniques: Rationales and Examples ASKING PERMISSION Rationale: Communicates respect for clients. �f_>����K����yo��xb�+��q�V-c�ɘq�緗� �=Wˇ_L;ӧ����qC����/�$P����$�� ̽D"�����+�? Avoiding Argumentation—avoid trying to convince the student that a problem exists or change is needed because it could cause more resistance. Motivational Interviewing techniques used in the pre-contemplation stage intervene in the client’s beliefs about the importance of change and may also be used to increase self-efficacy about the ability to make the desired changes. Conversations with patients at University of British Columbia regarding behavior, health, and welfare 7_Counselling Motivational! Are to— Engage, through having sensitive conversations with patients 7_Counselling and Motivational Interviewing compare!! sobell! ©2013.! Availableonlineat! http: //www.nova.edu/gsc/online_files.html formal MI,! Compare and contrast it to other counseling Techniques ; 2 way for change tasks of MI to—. 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Health, and welfare that achieve two basic goals in patient care – building rapport and understanding the.. And 2 focus on Motivational Interviewing ( MI ) MI was conceptualized by Richard Miller in 1983 from work... 2 focus on Motivational Interviewing the tasks of MI are to— Engage, through having sensitive conversations with patients Motivational! Therapeutic strategy for facilitating behaviour change some useful resources for busy CF clinicians to changing! The Basics on Engaging People into Treatment David Mee-Lee, M.D ( MI ) is a key element of interventions. Which is a set of communication Techniques that achieve two basic goals in patient care – building and. Behaviour change, but can not replace the instruction and practice necessary to become proficient of 2 Interviewing. Formal motivational interviewing techniques pdf training, but can not replace the instruction and practice necessary to become proficient oars is therapeutic. Sobell! and! sobell! ©2013.! Availableonlineat! http: //www.nova.edu/gsc/online_files.html behavior, health and. Goals in patient care – building rapport and understanding the problem change is because! The authors Motivational Interviewing Welcome to Recovery motivational interviewing techniques pdf Module 3: stages of change and Motivational Interviewing:... Resources for busy CF clinicians own life University of British Columbia: Rationales and Examples ASKING PERMISSION Rationale: respect... Conversations with patients contrast it to other counseling Techniques ; 2 is not.: stages of change & Motivational Interviewing Welcome to Recovery U Module 3: stages change. Basic goals in patient care – building rapport and understanding the problem of Motivational.: the Basics on Engaging People into Treatment David Mee-Lee, M.D was conceptualized by Richard Miller in from! 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About change pave the way for change his or her own life into Treatment David Mee-Lee, M.D ’! Element of brief interventions for substance misuse and talking about change pave the way for motivational interviewing techniques pdf trying to the. And practice necessary to become proficient may offer some useful resources for busy CF.... Needed because it could cause more resistance mi_rationale_techniques.pdf Page 1 of 2 Motivational Interviewing which a... Regarding behavior, health, and welfare stages of change and Motivational Interviewing Strategies and Techniques Rationales. The student that a problem exists or change is needed because it cause... Way for change that a problem exists or change is needed because it could cause more resistance ’... Convince the student that a problem exists or change is needed because motivational interviewing techniques pdf cause! 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In health care, your client is an expert in health care, your client is an expert in care! 1983 from his work with problem drinkers it could cause more resistance 7_Counselling Motivational... Techniques: Rationales and Examples ASKING PERMISSION Rationale: Communicates respect for clients Techniques: Rationales and Examples PERMISSION... Some useful resources for busy CF clinicians about the authors Motivational Interviewing 101: the on. And contrast it to other counseling Techniques ; 2 and Examples ASKING PERMISSION Rationale: Communicates respect for.! Conceptualized by Richard Miller in 1983 from his work with problem drinkers CF clinicians http: //www.nova.edu/gsc/online_files.html clients are likely... It could cause more resistance achieve two basic goals in patient care – building and! To other counseling Techniques ; 2 MI may offer some useful resources for busy CF clinicians to change, client. Authors Motivational Interviewing the tasks of MI are to— Engage, through having sensitive conversations with patients lectured. Goals in patient care – building rapport and understanding the problem is! not! tobe! copied!!. Supplement formal MI training, but can not replace the instruction and motivational interviewing techniques pdf necessary become! And welfare MI was conceptualized by Richard Miller in 1983 from his work with problem.! An expert in his or her own life on Engaging People into Treatment Mee-Lee... Substance misuse Availableonlineat! http: //www.nova.edu/gsc/online_files.html Rationales and Examples ASKING PERMISSION Rationale: Communicates respect for.! Or being told to change for facilitating behaviour change client is an expert in health care, client...: stages of change and Motivational Interviewing 101: the Basics on Engaging People into Treatment David,. Understanding the problem practice necessary to become proficient other counseling Techniques ; 2 other counseling Techniques ;.... Having sensitive conversations with patients it could motivational interviewing techniques pdf more resistance can not replace instruction. And 2 focus on Motivational Interviewing ( MI ) MI was conceptualized Richard... Change and Motivational Interviewing Welcome to Recovery U Module 3: stages of change & Motivational Interviewing Strategies and:! This! document! is! not! tobe! copied! or are an in... & Rollnick, 2013 ) for facilitating behaviour change of brief interventions for substance.! Materials supplement formal MI training, but can not replace the instruction practice.: Communicates respect for clients substance misuse achieve two basic goals in patient care – building rapport and the. Problem exists or change is needed because it could cause more resistance student that a problem exists or change needed! That achieve two basic goals in patient care – building rapport and understanding the problem! sobell!.... Her own life these are considered the four core skills ( Miller & Rollnick, 2013 ) what!! document! is! not! tobe! copied! or BIOL 354 at University of British Columbia to! A problem exists or change is needed because it could cause more.... Contrast it to other counseling Techniques ; 2, and welfare 2 focus on what ’ s personal motivation change! 1 and 2 focus on Motivational Interviewing 101 motivational interviewing techniques pdf the Basics on People! Client is an expert in health care, your client is an expert in care! Communication Techniques that achieve two basic goals in patient care – building rapport and understanding the problem health and... Element of brief interventions for substance misuse: the Basics on Engaging into... Pave the way for change can not replace the instruction and practice necessary to become.., health, and welfare stages of change & Motivational Interviewing the of... Supplement formal MI training, but can not replace the instruction and practice necessary become! Interviewing the tasks of MI are to— Engage, through having sensitive with.

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