mi for ytp summer academy 2013. rosalie dan heather
TRANSCRIPT
MI for YTPSummer Academy
2013
Rosalie
Dan
Heather
What MI is NOT
A quick fix
A set of tools/techniques to use on students
The magic bullet for every student
Authoritative, prescriptive, or coercive
What MI ISA collaborative communication style
A quiet, searching process about listening
A shift in style and attitude
Coming alongside to gently nudge/guide
Used to evoke their own sense of why & how they might change
What is UP with Youth?
O A time of change in the brain
O Autonomy and social interaction are key
O Social interactions must feel safe or it will feel like a threat
O NO ONE IS UNMOTIVATED
Have you ever felt…….
that the culture in which we work is not always helpfulto our students?
How do we describe a student?
Barriers Strengths
Conversations with a student
Communication Styles
Direct Guide Follow
“You need to get a job”“Yes, but I really like my free time”
“What do you want for your life”“I want to be independent”
GuidingGuiding is suited to helping someone change
The Nature of Ambivalence
“I like to smoke weed” “I am worried about getting caught”
“Yes, but it relaxes me” “I don’t feel like doing anything”
“It’s not that bad” “I must make a change”
SUSTAIN TALKSUSTAIN TALK CHANGE TALKCHANGE TALK
Autonomy ExerciseO Pick a topic you are ambivalent about
O Find a partner
O Talk for 90 seconds about your topic
O Listener argues a “side” 60 seconds
O Switch
O Debrief with the group
Style is EVERYTHINGConfrontational= Sustain Talk
(Denial)
Empathic=Change Talk(Motivation)
Righting Reflex Listening
Advice
Elicit……..Provide………Elicit
You have brains in your headYou have feet in your shoesYou can steer yourself any direction you
chooseOh the places you’ll go!
-DR. SEUSS
Why does MI work?O We are best convinced by our own reasons
O We have inside us the strength to make change happen
O Students start talking themselves into changing by HOW we draw these out
O “Change talk” increases commitment and the likelihood that change will occur
MI MI SPIRITSPIRIT
Absolute WorthAutonomyAccurate EmpathyAffirmation
Adapted from Motivational Interviewing, 3rd Ed., Miller & Rollnick, 2012
Spirit
CollaborationCollaboration (Partnership)“We are going to work together”
AcceptanceAcceptance“I value you and am delighted to talk with you”
CompassionCompassion“I want to understand and respect you and your experience”
EvokingEvoking“I am going to create a space for you to share yourself and your story with me”
Rate my “MI Spirit”0 = not at all 10 = very much
CollaborationAcceptanceCompassionEvoking
How will you know it’s MI?
O You are using an empathetic style
O There is a target for change
O You are evoking the person’s own motivations
Four Processes in MI
PlanningPlanning
EvokingEvoking
FocusingFocusing
EngagingEngaging
AAdapted from Motivational Interviewing, 3rd Ed., Miller & Rollnick, 2012
Something to ponder………