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MOTIVATIONAL INTERVIEWING Key Concepts

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Lack of Information Laziness Oppositional Personality Denial Resistance MISCONCEPTIONS

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AMBIVALENCE IS OFTEN MISTAKEN FOR RESISTANCE MOTIVATIONAL INTERVIEWING CAN ELICIT A A PERSONS MOTIVATION TO CHANGE

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CORE SKILLS FOR MOTIVATIONAL INTERVIEWING Open Questions Affirmations Reflections Summaries

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CLOSED VS. OPEN QUESTIONS CLOSED OPEN How much alcohol do you drink a day? What role does alcohol play in your life? Dont you want to move to a safer place? What are the advantages that you see in moving? Are you in pain? How do you feel?

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AFFIRMATIONS You really care a lot about your family This is hard work your doing

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REFLECTIONS Patient - I have been this way for so long, I think its just my personality Provider Response - So all of this seems normal to You

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SUMMARIES If I understood you correctly, youve been Thinking about moving. There is a downside In that you have to find a new doctor

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SPIRIT OF MOTIVATIONAL INTERVIEWING CORE PRINCIPALS ACCEPTANCE COMPASSION EVOCATION

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THE FOUR PROCESS OF MOTIVATIONAL INTERVIEWING Engaging Focusing EvokingPlanning

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ENGAGING Helps to establish a trusting and mutually respectful relationship Avoid bombarding patient with questions in the initial encounter Avoid telling patients how to fix their problem Avoid labeling patients ie. stubborn, resistant

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FOCUSING An ongoing process of seeking and maintaining direction Agree on an agenda based on clients and counselors goals & priorities Practice listening skills

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EVOKING Elicit a clients own motivation to change change talk Asking questions that favors a movement in the direction of change I want, I can, I wish

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PLANNING Developing a specific change plan Plan should be -Specific -Measurable -Achievable -Relevant -Timed

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REFERENCES Miller, W. & Rollnick, S. (2002). Motivational Interviewing: Preparing people for change (2 nd ed.). New York, NY: Guilford Press Rochon, D., Ross, M.W. Looney, C., Nepal, V.P., Price, A.J. & Giordano, T.P. (2011). Communications strategies to improve HIV treatment adherence. Health Communication, 26, 461-467