MI treatment integrity (MITI) coding Flashcards
relational component
spirit of MI (PACE)
* partnership, evocation, compassion, acceptance
no need to do EPE
put client’s needs ahead of your own
recognizing clients autonomy and strengths
technical component
MI processes
engaging, focusing, evoking, planning
- focusing needs to be on a behaviour
engaging
purpose: establishing a respectful relationship with client
tasks:
- explain counselling interaction
- welcome your client
- understand your client’s situation
skills (use oars)
- open ended questions
- affirming
- reflecting
- summarizing
welcoming client, create atmosphere of trust and respect
- what does a typical day in your life look like?
traps to avoid
assessment
expert
premature-focus
labelling
blaming
chat
focusing
purpose: to establish the direction of the counselling
tasks: determine the topic of discussion (agenda mapping)
skills: confirmation (clear direction), agenda mapping, or orienting
– elicit-providing-elicit to offer information
- oars
evoking
purpose: to enhance motivation for change
tasks: elicit change talk and respond to sustain talk
* look for signals of readiness
skills: tools for eliciting change talk and responding to sustain talk
* OARS
– responses to sustain talk are mostly reflections
– emphasizing autonomy
planning
purpose: to create a plan for changing
tasks:
offer a transitional summary (ICAN)
* create a detailed change plan
skills: oars
* planning
– confirm goal, itemize options if needed, elicit client’s preferences, summarize the plan and strengthen, commitment to change, troubleshoot
say summary
* talk about change talk, little sustain, finish off with change talk
what could go wrong with techniques
when techniques become tools to use on people, one has abandoned the spirit of MI
flexibility
the key in the practice of MI, responding in the moment to whatever the client Is offering
- need to be flexible
