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Cognitive-Behavioral Intervention and Motivational Interviewing Presented by Presented by Donna Tebought – Program Director 1 Donna Tebought – Program Director 1 Risk Reduction Services/Cognitive Behavioral Unit Risk Reduction Services/Cognitive Behavioral Unit October 11, 2012 October 11, 2012 1

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Page 1: Cognitive-Behavioral Intervention and Motivational Interviewing Presented by Donna Tebought – Program Director 1 Risk Reduction Services/Cognitive Behavioral

Cognitive-Behavioral Intervention and

Motivational Interviewing

Presented byPresented by

Donna Tebought – Program Director 1Donna Tebought – Program Director 1

Risk Reduction Services/Cognitive Behavioral UnitRisk Reduction Services/Cognitive Behavioral Unit

October 11, 2012October 11, 20121

Page 2: Cognitive-Behavioral Intervention and Motivational Interviewing Presented by Donna Tebought – Program Director 1 Risk Reduction Services/Cognitive Behavioral

But in the real world it will never work

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Page 3: Cognitive-Behavioral Intervention and Motivational Interviewing Presented by Donna Tebought – Program Director 1 Risk Reduction Services/Cognitive Behavioral

Why should we place offenders into programs?

Altered attitudes, values, and beliefs through direct challenging and/or new behavioral practice

Risk Control vs. Risk ReductionLearning through Self-DiscoveryCognitive Dissonance

Page 4: Cognitive-Behavioral Intervention and Motivational Interviewing Presented by Donna Tebought – Program Director 1 Risk Reduction Services/Cognitive Behavioral

Cognitive Behavioral Programs

Responsibility to change is with the offender not us.

We don’t take credit for their failures nor their successes.

Motivation for change has to come from within. The offender is the one who makes the argument for change, not us.

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Page 5: Cognitive-Behavioral Intervention and Motivational Interviewing Presented by Donna Tebought – Program Director 1 Risk Reduction Services/Cognitive Behavioral

Cognitive Behavioral Programs

Moral Reconation Therapy (MRT)

Thinking for a Change (T4C)

D.E.T.O.U.R.

Anger Management

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Page 6: Cognitive-Behavioral Intervention and Motivational Interviewing Presented by Donna Tebought – Program Director 1 Risk Reduction Services/Cognitive Behavioral

Cognitive Behavioral ProgramsIntervention

ALL staff should be using cognitive behavioral (Cog) practices

A good cog “intervention” and a good cog “program” are not the same thing…Why?

A good Cog intervention can be “drowned” by staff who are not “on board”. How?

What are the skills all staff can be using?

10/11/2012 & 10/25/2012 6

Page 7: Cognitive-Behavioral Intervention and Motivational Interviewing Presented by Donna Tebought – Program Director 1 Risk Reduction Services/Cognitive Behavioral

Reinforcement TechniquesSupport your facilitatorSupport the participantsDon’t talk bad about the programsSit in on a classAttend graduationsMotivational Interviewing

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Page 8: Cognitive-Behavioral Intervention and Motivational Interviewing Presented by Donna Tebought – Program Director 1 Risk Reduction Services/Cognitive Behavioral

Definitions oMotivation

oMotivational Interviewing?

(Council for Philosophical Studies, 1981: Miller 1985b)

Page 9: Cognitive-Behavioral Intervention and Motivational Interviewing Presented by Donna Tebought – Program Director 1 Risk Reduction Services/Cognitive Behavioral

Why MI, or What’s In It For Me?

Improve communication skills, be more efficient & effective:Less talking by youMore talking by the offender

Improve outcomes:Increased compliance, reduced recidivismImproved commitment to changeIncreased participation in interventions

Decrease your stress:They act, you apply consequences (positive and negative)Don’t fix, assist… then hold them accountable!If they don’t change, you don’t argue, just follow through!

Page 10: Cognitive-Behavioral Intervention and Motivational Interviewing Presented by Donna Tebought – Program Director 1 Risk Reduction Services/Cognitive Behavioral

Benefits of Motivational Interviewing

–Provides a model for the process of change

–Reframes “denial” as “ambivalence”

–Shows staff how to manage ambivalence

–Identifies offender motivational structure

–Correlates with better compliance

–Improves re-entry planning and offender

involvement

–Affirms the offender

–Increases rapport with the offender

–Helps offender make progress towards change

–Gives offender ownership and responsibility of their change process

Page 11: Cognitive-Behavioral Intervention and Motivational Interviewing Presented by Donna Tebought – Program Director 1 Risk Reduction Services/Cognitive Behavioral
Page 12: Cognitive-Behavioral Intervention and Motivational Interviewing Presented by Donna Tebought – Program Director 1 Risk Reduction Services/Cognitive Behavioral

Donna Tebought Program Director 1, Cognitive Behavioral Unit-RRS

C/O Clayton TC270 Falcon Drive

Forest Park, GA 30297Office: (404) 675 – 6810Pager: (404) 382 – 3898

Fax: (404) 362 - 6599E-mail: [email protected]