m otivational i nterviewing i mplementation w orkshop jason anderson ebp program administrator mn...
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MOTIVATIONAL INTERVIEWING
IMPLEMENTATION WORKSHOP
Jason AndersonEBP Program Administrator
MN Department of CorrectionsAugust 26, 2011
Introductions
THREE LEVELS OR TYPES OF IMPLEMENTATION:
• ‘Paper’ (nothing really changes)
• ‘Process’ (procedures change; not outcomes)
• ‘Performance’ (procedures & outcomes change)
Fixsen et al. (2005). Implementation Research: A Synthesis of the Literature.
10 Things MI is NOT:Miller & Rollnick, 2009
1. Transtheroretical Model – Stages of Change
2. A technique.
3. A way to trick people.
4. A Decisional Balance.
5. It does not require assessment feedback.
10 Things MI is Not (cont.):
6. A form of cognitive-behavioral therapy.
7. Just client-centered counseling.
8. Easy.
9. What you are already doing.
10. A panacea.
MI Defined:
Motivational interviewing is a directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence.
Stages of Learning Motivational Interviewing:
Stages of Learning Motivational Interviewing:
1. Spirit2. OARS3. Recognizing Change Talk & Resistance4. Elicit/Strengthen Change Talk5. Roll w/Resistance6. Develop Change Plan7. Consolidate Commitment8. Transition/Blending
1. Overall Spirit:
Collaboration
Autonomy
Evocation
2. OARS:
(Client-Centered Listening Skills)
Open-ended ?sAffirmationsReflectionsSummarizations
3. Recognizing Change Talk and Resistance
Change Talk
Sustain Talk
Resistance
4. Eliciting and Strengthening Change Talk
Evoke and Reinforce change talk
Apply OARS strategically
Missed Opportunities
5. Rolling with Resistance
“Don’t wrestle with pigs…you’ll get muddy and the pigs love it.”
6. Developing a Case Plan:Case Planning:
Emphasis is on…
- Written plan
- SMART format
- Criminogenic behavior targets
- Aligning, plan w/client’ motivation is optimal
- Developing a case plan is an event
Change Planning:
Priorities are…
- Alignment w/client’s motivation
- Criminogenic needs of client are considered
- Written plan is optional
- Change planning is a process (not an event)
7. Consolidating Commitment
Increasing strength of client’s commitment to change.
Specify implementation intentions.
8. Transition and Blending
Blending MI style with other interventions
Transition between MI and other approaches
Click icon to add picture
Break Time!
Types of Training
2 to 3 days
“Level I” Training
Clinical Training
1 hour to 1 day
Application
2 hours to 1 day
Intro
3-4 days
Equipped to facilitate Level
I and II training.
Training for Trainers
2-3 days
Equipped to coach and
facilitate practice
sessions
Supervisor Training
2-3 days
May be broken into 2-hour sessions
“Level II”Coaching
Circles
Advanced Clinical Training
EckMaahs & Associates, LLC [email protected] Magnify your Potential! 651-489-112
Oct 22-23, 2009 11/16 11/ 30 12/14 12/30 Jan 13, 2010 1/ 21 2/ 4 2/18 3/4 3/11 or a bit later 3/23-3/25 3/ 2/Mar Feb Feb 18
Level II
Session 2
2 hours
Level I
MI Course- 2 days
Level II
Session 1
2 hours
First audio tape coaching session
Sample Timeline for
Level I and II Motivational Interviewing Training
(Utilizing MICP Curriculum Series)
Level II
Session 3
2 hours
Level II
Session 4
2 hours
Level II
Session 5
2 hours
Level II
Session 6
2 hours
Level II
Session 7
2 hours
Level II
Session 8
2 hours
Second audio tape coaching session
Note: Level II sessions should be approximately 2 weeks apart and no larger than 12 participants.
An interview with Dr. Miller
Implementation Considerations:
• Training ≠ Implementation
• Internal Capacity
• Managerial Support
• Ongoing measurement with coaching feedback.
Resources
• <Motivational Interviewing Network of Trainers>http://motivationalinterviewing.org/
• <Stephen Rollnick>http://www.stephenrollnick.com/
• Jason Anderson, EBP Programs [email protected]