13. Motivational Interviewing

Question 1

What is motivational intervewing

Answer 1

The most influential brief intervention, person centered, goal orientated counseling method for helping change by working through ambivalence

Question 2

7 stages

Answer 2

1. Pre contemplation
2. Contemplation
3. Preparation
4. Action
5. Maintanence
6. Improved lifetyle
7. relapse

Question 3

MI Spirit

Answer 3

Collaborating together: Partnership
Acceptance: Respects rights to decide
Compassion: has their best interest
Evocation: active listeners

Question 4

4 Principles of MI

Answer 4

1. Express empathy
2. Develop discrepancy between where they are and where they want to be
3. Respons to sustaining talk (explore uncertainty)
4. Support self-efficacy: help see and believe they can change

Question 5

Change vs sustain talk

Answer 5

Sustain talk: patient says that favors status quo, may not believe or accept information

Change talk: what patient says that favors movement in direction of change

Question 6

4 processes of MI

Answer 6

1. Engage: Build relationship
2. Focus: Set agenda
3. Evoke: Draw reasons for change
4. Plan: Set a goal

Question 7

What are the basic skills of MI

Answer 7

OARS

Open ended questions
Affirmations
Reflections
Summarising

Question 8

What are open ended questions

Answer 8

How what when where why. Not yes or no

Question 9

What are affirmations

Answer 9

Statements that accentuate the positive in order to recognise, support and encourage

Question 10

What are reflections

Answer 10

Clarifies the meaning of what was said

Question 11

4 main parts of summarizing

Answer 11

1. Intro
2. Summarize CHANGE TALK
3. Summarize positive things accomplished
4. Ask if they want to add anything and whatre the next steps

Question 12

True or false motivational interviwing emphasises abstinence

Answer 12

FALSE. Moderation focus shows greater declines over time

Question 13

Shortcomings of MI with teens

Answer 13

1. May not recognize dangers of substance use
2. Might not have abastract reasoning skills to imagine future harm
3. Harm reduction approach may conflict with abstinence expectations of parents, schools etc

Question 14

How can MI be adapted for teens

Answer 14

1. MCQ for teens who have difficulty talking to counselor
2. Making sure feedback is understoof
3. Use of graphics
4. use of the internet

Question 15

Is MI effectuve

Answer 15

Yes. Research shows promise in reducing

• alcohol
• nicotine

Question 16

Motivational Enhancement Intervention

Answer 16

A shorter term less extensive than traditional substance abuse treatments. utilizes harm reduction

Question 17

What does Motivational Enhancement do

Answer 17

Directly adresses substance use or motivates more treatment

Question 18

Strategies of motivational enhancement

Answer 18

1. Non judgemental and non confrontational
2. Client centred, but directive
3. Open ended questions

Question 19

Motivational Enhancement FRAMES

Answer 19

Feedback of personal risk
Responsibility
Advice to change
Menu of options for change
Empathy
Self-efficacy: insitlling hope

Question 20

College drinkers check up. What is it

Answer 20

A single session brief intervention, online based to reduce alcohol use in college students

Question 21

What strategies does college drinkers check up use

Answer 21

FRAMES. feedback, assessment, screening

Question 22

IS college drinkers check up effective

Answer 22

Yes. Fewer drinks per week, lower BAC