CREATING AN MI CREATING AN MI CULTURECULTURE

The “Nuts and Bolts” ExperienceThe “Nuts and Bolts” Experience

D. Michael Davis, Program Manager, Clinical D. Michael Davis, Program Manager, Clinical Supervisor, TrainerSupervisor, TrainerChangePoint Inc. ChangePoint Inc.

WHAT WORKS IN THE WHAT WORKS IN THE TRENCHES?TRENCHES?

The ChallengesThe ChallengesThe SupportsThe SupportsThe StrategiesThe StrategiesThe OutcomesThe Outcomes

THE CHALLENGESTHE CHALLENGES

MI is MI is notnot a simple, easy or quickly learned a simple, easy or quickly learned skill.skill.

Most Counselors and Agencies who say Most Counselors and Agencies who say they are doing MI are they are doing MI are not.not.

MI cannot be learned with MI cannot be learned with training onlytraining only.. Most supervisors do more Most supervisors do more administrativeadministrative than than

clinicalclinical supervision. supervision. Good clinical supervision is Good clinical supervision is expensive.expensive. Staff Staff turnoverturnover and varying and varying skillskill levels impact levels impact

the culture. the culture.

THE SUPPORTSTHE SUPPORTS

Long-term support by owner with:Long-term support by owner with:1. Philosophy of Excellence 1. Philosophy of Excellence 2. Belief in Evidence Based Practices2. Belief in Evidence Based Practices3. Commitment to Research 3. Commitment to Research 4. Money for training and supervision 4. Money for training and supervision 5. Allotment of supervisor time5. Allotment of supervisor time

Long-term Involvement in CTNLong-term Involvement in CTN Long-term Involvement in other EBP’sLong-term Involvement in other EBP’s Long-term Commitment of Upper ManagementLong-term Commitment of Upper Management

THE STRATEGIESTHE STRATEGIES

Training and practice for both Training and practice for both Administrative and Clinical StaffAdministrative and Clinical Staff

MI style supervision – (admin & clinical)MI style supervision – (admin & clinical) Program Design and Management Program Design and Management

focused on creating an MI culturefocused on creating an MI culture Expectation of Excellence Expectation of Excellence

Training and PracticeTraining and Practice

Admin staff group training with practiceAdmin staff group training with practice Admin Staff training focused on “first Admin Staff training focused on “first

contact”, MI spirit in customer service, and contact”, MI spirit in customer service, and staff proposed issues with clientsstaff proposed issues with clients

Regularly scheduled Group supervision/ Regularly scheduled Group supervision/ training for clinical stafftraining for clinical staff

Beginning and Advanced MI groupsBeginning and Advanced MI groups Continual monitoring, observation, rating, Continual monitoring, observation, rating,

feedback and feedback and PRACTICEPRACTICE

MI Style SupervisionMI Style Supervision

Staff experience the benefits of MI as a Staff experience the benefits of MI as a “client” “client”

Group and individual supervisionGroup and individual supervision Collaborative MI training/practiceCollaborative MI training/practice Collaborative performance reviewCollaborative performance review

Program Design & Management Program Design & Management

Hiring for Excellence, Observation as part of Hiring for Excellence, Observation as part of the Interview processthe Interview process

DV program designDV program design Group Counseling design and skillsGroup Counseling design and skills Client OrientationClient Orientation Assessment - MI sandwichAssessment - MI sandwich Client Assignments – Self AssessmentClient Assignments – Self Assessment Treatment Plan – collaborative development of Treatment Plan – collaborative development of

paperwork paperwork

Expectation of ExcellenceExpectation of Excellence

““We want to offer the best treatment We want to offer the best treatment possible.” possible.”

It is possible!It is possible! Research makes it possible. Research makes it possible. MI style supervision makes it possible. MI style supervision makes it possible. Practice, practice, practice makes it Practice, practice, practice makes it

possible. possible.

THE OUTCOMESTHE OUTCOMES

Increased client engagement and retentionIncreased client engagement and retention Increased staff engagement and retentionIncreased staff engagement and retention Increased satisfaction for referral sourcesIncreased satisfaction for referral sources Increased career satisfaction for admin Increased career satisfaction for admin

staff, counselors and supervisorsstaff, counselors and supervisors Increased Confidence Increased Confidence Increased ExcellenceIncreased Excellence

IT TAKES LONG-TERM IT TAKES LONG-TERM COLLABORATIVE COLLABORATIVE

COMMITMENT, COMMITMENT, INVOLVEMENT, INVOLVEMENT,

SUPERVISION ANDSUPERVISION AND

PRACTICEPRACTICE

CREATING AN MI CULTURE? CREATING AN MI CULTURE?

Using MI – not as a technique Using MI – not as a technique added to a bag of tricks – added to a bag of tricks –

but as an attitude and way of but as an attitude and way of doing things that permeates all doing things that permeates all

levels of operationlevels of operation