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

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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 www.eckmaahs@.com 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 AdministratorJason.Allen.Anderson@state.mn.us