Motivational Interviewing Experiential Conference: Mastering the Language of Change in Critical Client Conversations

CPD

Handouts

Speaker

William Matulich Ph.D. Related seminars and products

Objectives

1. Summarize the history of Motivational Interviewing (MI).
2. Describe the evidence base for the use of MI for behavioral change.
3. Explain the “Spirit” of MI.
4. Discuss what motivates people to change.
5. Identify and practice how to assess client motivation.
6. Practice specific techniques to increase client motivation.
7. Describe the 6 stages of change.
8. Utilize the 4 core skills of MI in conversation.
9. Employ several techniques to generate “change talk” and soften “sustain talk”.
10. Utilize strategies to explore and resolve ambivalence to change.
11. Demonstrate the ability to recognize and reinforce “change talk.”
12. Employ several techniques to reduce the likelihood of client resistance and discord.
13. Describe how MI can be integrated into current forms of treatment.

Outline

MI Defined

• A conversation about change
• Person-centered approach
• Goal-oriented approach
• Honors client autonomy
• Research behind effectiveness of MI

The “Transtheoretical” Model of Change

• Six stages of change
• Assessing client stage of change

Theories of Motivation

• Needs theory
• Self-determination theory
• Reactance and Self-perception theory
• Myths
• Extrinsic vs. intrinsic motivation

Put it into Practice: Avoid Directing

• Being the expert
• Direct the client

The “Righting Reflex”

• Counterproductive for MI
• A natural counselor response/reflex

Put it into Practice: A Taste of MI

• Seven questions to generate motivation

The Spirit of MI - PACE

• Partnership
• Acceptance
• Compassion
• Evocation

Importance of Empathy

• Required for engagement

The Four Processes of MI

• Engage
• Focus
• Evoke
• Plan

Using OARS - Critical Skill Building

• Open questions
• Affirmations
• Reflections
• Summarizations
• Put it into practice: Forming reflections/ feedback and reflective listening

Complex Reflections

• Double-sided reflections
• Reflecting Feeling
• Using metaphor
• Put it into practice: Complex reflections

Open Questions

• Cannot be answered with “yes” or “no”
• Opens the conversation
• Empowers the client
• Put it into practice: Change closed to open questions

Affirmations

• Reflect something positive
• Builds a sense of self-efficacy

Summaries

• Long reflections of client statements
• Strategic use of summaries

Demonstration of MI Skills

• Code example using OARS observer sheet
• Discussion/Questions

Change Talk

• Client speech that favors motivation
• Types of Change Talk: Desire, ability, reason, need, commitment, activation, taking steps (DARN-CAT)
• Put it into practice: Recognizing and responding to change talk

Practical Strategies-Creating Movement

• Open questions that generate change talk
• Readiness rulers and follow-up questions
• When to use the Decisional Balance
• Exploring values and goals

Resistance vs. Discord

• Social interaction theory of resistance
• Ways to handle discord or “resistant” clients

Giving Information and/or Advice

• With permission
• Elicit-Provide-Elicit
• Menu of options
• Put it into practice: Agenda setting and prioritizing

Consolidate Commitment

• Recapitulation summary
• Key question
• SMART goal setting

Incorporate with Other Treatment Methods

• CBT and more

Put all the MI Skills Together

• Demonstration
• Participant coding
• Strategic planning
• Skills practice with observer feedback

Target Audience

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