dcf/dfes/bwf/partner training section110/14/13 w-2 case management: participant motivation for...
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DCF/DFES/BWF/Partner Training Section 1 10/14/13
W-2 Case Management: Participant Motivation for
Change
DCF/DFES/BWF/Partner Training Section 2 10/14/13
Case Management and Change
Case management provides “…an organized, structured process for moving participants through the process of change…”
-Dr. Beverly Ford, Making Case Management Work, page 4
DCF/DFES/BWF/Partner Training Section 3 10/14/13
Motivation
Motivation: “…those forces that can push us to leave the comfort of what we know to venture out into the unknown.”
-Dr. Beverly Ford, Making Case Management Work, page 14
DCF/DFES/BWF/Partner Training Section 4 10/14/13
Trying to Motivate
•“Insight”
•“Knowledge”
•“Skills”
•“Suffering/Fear”
DCF/DFES/BWF/Partner Training Section 7 10/14/13
Motivational Interviewing
A collaborative conversation to strengthen a person’s own motivation for and commitment to change.
A goal-oriented conversation, focusing on a target behavior with special attention paid to the language of change.
DCF/DFES/BWF/Partner Training Section 8 10/14/13
• Quicker and more cost effective in the long term
• Applicable across a range of problems
• Culturally relevant
• Useable by non-specialists
Motivational Interviewing is:
DCF/DFES/BWF/Partner Training Section 9 10/14/13
Key Elements
• Collaboration
• Evocation
• Autonomy
DCF/DFES/BWF/Partner Training Section 10 10/14/13
Listening
“A practitioner who is listening, even if it is for just a minute, has no other immediate agenda than to understand the other person’s perspective and experience.” - Miller, Rollnick and Butler (MI Researchers), 2008
DCF/DFES/BWF/Partner Training Section 11 10/14/13
OARS
• Open Questions
• Affirmations
• Reflections
• Summarizing
DCF/DFES/BWF/Partner Training Section 12 10/14/13
Open Questions•“What do you…”
•“What have you…”
•“What are the…”
•“How might you…”
•“Tell me about…”
•“Describe your…”
DCF/DFES/BWF/Partner Training Section 13 10/14/13
Affirmations
• Commenting positively on an attribute or strength
• A statement of appreciation
• “Catching” them doing something right
DCF/DFES/BWF/Partner Training Section 14 10/14/13
Reflections
1. Hear what the person is saying.
2. Make a guess about the underlying meaning or emotion.
3. Choose what you will respond to.
4. Make your reflection as a statement.
DCF/DFES/BWF/Partner Training Section 15 10/14/13
Summaries• A recap
• Highlights participant motivation
•Demonstrates attentiveness
•Consolidation of information
•Useful for concluding or shifting direction of the conversation
DCF/DFES/BWF/Partner Training Section 16 10/14/13
Change Talk• D
• A
• R
• N
• C
• A
• T
esire
bility
easons
eed
ommitment
ctivating
aking steps
DCF/DFES/BWF/Partner Training Section 17 10/14/13
• Ask evocative questions• Explore decisional
balance• Try looking
forward/looking back• Query extremes• Use readiness or
confidence rulers• Explore goals and values
Evoking Change Talk
DCF/DFES/BWF/Partner Training Section 19 10/14/13
Sustain TalkDon’t:
• Push back• Argue• Judge or confront• Overwhelm with reasons• Cheerlead• Jump ahead of readiness• Discount or ignore feelings or thoughts
DCF/DFES/BWF/Partner Training Section 21 10/14/13
Important Points to Remember
MI is about:–Empathy–Collaboration–Respect–Evocation–Accepting–Autonomy
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