motivational interviewing
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MOTIVATIONAL INTERVIEWING. OJACC OCTOBER 14, 2011. MOTIVATIONAL INTERVIEWING. Learn evidenced based interview techniques Provide skill building practice Apply skills to offender change process. Motivational Interviewing. - PowerPoint PPT PresentationTRANSCRIPT
OJACC OCTOBER 14, 2011
Learn evidenced based interview techniques
Provide skill building practice Apply skills to offender change process
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A directive, client-centered
counseling style for helping
clients explore and resolve
ambivalence about behavior
change.
“…is a state of mind in which a person has coexisting but conflicting feelings about something.”
“…want to, but I don’t want to.” “…is normal heart of the problem
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Offenders answer the question:
What can I do to get out of
Criminal Justice System?
Interviewers focus on
ambivalence
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Open questions, affirmation, reflective
listening, summarization
Questions and strategies for eliciting
self-motivating statements
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Open Questionvs
Closed Question
Open Questionvs
Closed Question
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Do you have any prior arrests? Have you ever been fired? Do you have any criminal friends? Do you think that laws are fair?
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What experiences have you had in the criminal justice system?
What were your favorite and least favorites jobs? And Why?
What was the best advice that you ever got from a friend? What was the worst?
Why do we have laws?
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Or Defensiveness Starts Increasing
Parroting
Paraphrasing
Getting the gist
Reflection of feeling
Reflection of feeling and content
Reflections of meaning, implication,
application
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DO YOU MEAN... YOU FEEL... WHAT I HEAR YOU SAYING IS... SO WHAT YOU ARE TELLING ME IS...
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Person 1: Pick a subject that you are ambivalent about
Person 2: use the reflective do you mean… Person 1: Yes or No Only
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At least 70% of questions are Open At least 2 Reflections for every question Interviewers not talking more than 40% of
the time Reflections with more involved content
structure are best
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Acknowledges client difficulty
“I hear and I understand”
Promotes self-efficacy
Express empathy
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I appreciate how hard this must be. You took a big step. I think it’s great that you want to do
something about this problem. That must be very difficult for you. You’re certainly a resourceful person to
have been able to live with the problem this long and not fall apart.
That’s a good suggestion. Good work
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Respond with an affirmation only◦ I can picture how quitting using heroin would
make my life better, but I can’t imagine never shooting up again
◦ Staying sober the last few weeks really makes me feel good, but part of me wants to celebrate by getting loaded
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Ordering, directing Warning, threatening Giving advice, making suggestions,
providing solutions Persuading with logic,
arguing, lecturing Moralizing, preaching Judging, criticizing, blaming
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Agreeing, approving, praising Shaming, ridiculing, namecalling Interpreting, analyzing Reasoning, sympathizing Questioning, probing Withdrawing, distracting, humoring,
changing the subject
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1. Get client to realize that there is a problem
2. Get client to realize that they should change their behavior
3. Get clients to feel like they can change
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How important is it for you to do clean up?Why do you think that it is not okay to
clean your bed area?Why do you think that foul language is
acceptable? Why is it important to follow this rule?What will be the consequences of not
following this rule?
How important is it for you to do clean up?Why do you think that it is not okay to
clean your bed area?Why do you think that foul language is
acceptable? Why is it important to follow this rule?What will be the consequences of not
following this rule?
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Is not following this rule getting you what you want?
What will be the consequences if you do this?
What will be the consequences if you don’t do this?
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The offender should be telling you why they need to change
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Use open questions, reflective listening and affirmations for best information/change
Practice getting the offender to tell you why they should change
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