UNSTICK THAT STUCK CLIENT

Stages of Change & Motivational Interviewing

• 3 year (Feb. 2007 - Feb. 2010)

• Almost 3,000 participants – study and control group who were chronically unemployed

• Clients of First Nations, Métis, Inuit or non-status descent

• Single parents (mostly women), clients with multi-barriers to employment

• Persons with disabilities

• Ex-offenders

• Newcomers to Canada

• Youth (18-29 years of age)

Employment Services Research Project (Manitoba)

We used the Stages of Change to assess client readiness to change

& Motivational Interviewing to tip the scales of ambivalence

The Models

Estimates less than 20% people making changes in their lives are in the action stage at any given time, but 90%

of all programs designed to assist with change are intended for people in the action stage

(Prochaska, et.al.,1994)

Disconnect

“Motivational interviewing is a collaborative conversation style for strengthening a person’s own

motivation and commitment to change”

Miller and Rollnick, 2012

Motivational Interviewing

Person-Centered Directive

MI is both Person-Centered & Directive

Client Centered

Client Centered

Empathy

Focus on client strengths Collaboration

Disconnect between values &

behaviour

INTAKEAssessment

Contemplation

MI &Assessment

Preparation

PreparationAction Plan

Job SearchEmployment Development

Precontemplativeor Contemplative Preparation

• 25% decrease in clients being released from employment assistance services

• 34% increase in first time employed numbers

• 48% increase in 6-month employment retention

Research Project Study Results

• Effective short term intervention to move client’s otherwise deemed un-motivated

• It is directive and client-centered (moving towards outcomes in a respectful way)

• Increase job satisfaction & reduced practitioner burn-out

Why use Motivational Interviewing?